Hendrickson-Quirk, Mary Allison
Hendrickson-Quirk, Mary Allison is an individual health care provider with primary practice located at 2415 Parkwood Dr , Brunswick GA 31520-4722. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Hendrickson-Quirk, Mary Allison can be contacted via phone (912) 466-7188.Contact Information
Primary practice address
2415 Parkwood Dr
Brunswick GA 31520-4722
Phone: (912) 466-7188
Fax: (912) 466-7185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 074434 | Georgia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 074434 | Georgia |
Profile Details
| NPI number | 1700851284 |
|---|---|
| LBN Legal business name | Hendrickson-Quirk, Mary Allison |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | May 17th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700851284 | NPPES |
| Texas | MEDICAID | 115430406 | |
| Texas | MEDICAID | 003164419A | |
| Texas | MEDICAID | 115430404 | |
| Texas | MEDICAID | 115430405 |
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