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NPI Code Detail

MEDICARE: MRS. BETTY QUINNSHANNA QUARSHIE M.ED

MEDICARE: MRS. BETTY QUINNSHANNA QUARSHIE M.ED
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
1253Z00000XIn Home Supportive Care AgencySC

General Provider Information

NPI Number : 1528640828
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETTY QUINNSHANNA QUARSHIE M.ED
Provider Business Mailing Address
First Line : 9 CADOGAN DR
Second Line :
City : SIMPSONVILLE
State : SC
Zip : 29681-6811
Country : US
Telephone Number : 864-991-7554
Fax Number :
Provider Business Practice Location Address
First Line : 439 CONGAREE RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29607-2867
Country : US
Telephone Number : 864-991-7554
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2021
Last Update Date : 04/26/2021

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