Carroll, Quinton W

Carroll, Quinton W is an individual health care provider with primary practice located at 508 Princeton Rd Suite 104, Johnson City TN 37601-2060. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Carroll, Quinton W can be contacted via phone (423) 384-0614.

Contact Information

Primary practice address
508 Princeton Rd Suite 104 Johnson City TN 37601-2060
Phone: (423) 384-0614
Fax: (423) 928-5814
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 153426 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 14954 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 14954 Tennessee

Profile Details

NPI number 1619187283
LBN Legal business name Carroll, Quinton W
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated May 5th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619187283 NPPES
Tennessee MEDICAID 1519749

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