MEDICARE: SYDNEY QUINN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer		NC

General Provider Information

NPI Number	:	1447180229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY QUINN

Provider Business Mailing Address
First Line	:	2700 WHITE RAIL DR
Second Line	:
City	:	FUQUAY VARINA
State	:	NC
Zip	:	27526-6681
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7227 OLD US HIGHWAY 52
Second Line	:
City	:	LEXINGTON
State	:	NC
Zip	:	27295-6103
Country	:	US
Telephone Number	:	336-731-8431
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2026
Last Update Date	:	05/21/2026

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Directions to “ SYDNEY QUINN ” Practice Location

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