Quammie, Marjory W

Quammie, Marjory W is an individual health care provider with primary practice located at 1845 Holsonback Dr , Daytona Beach FL 32117-5114. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Quammie, Marjory W can be contacted via phone (386) 274-0790.

Contact Information

Primary practice address
1845 Holsonback Dr Daytona Beach FL 32117-5114
Phone: (386) 274-0790
Fax: (386) 274-0800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X ARNP 1492332 Florida

Profile Details

NPI number 1063473262
LBN Legal business name Quammie, Marjory W
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Dec 13th, 2012 - about 13 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 1063473262 NPPES
Florida MEDICAID 301357001

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