Quillan, Lynn D.

Quillan, Lynn D. is an individual health care provider with primary practice located at 1120 Grove Rd Suite B, Greenville SC 29605-4656. 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. Quillan, Lynn D. can be contacted via phone (864) 455-6444.

Contact Information

Primary practice address
1120 Grove Rd Suite B Greenville SC 29605-4656
Fax: (864) 455-6598
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 2392 South Carolina

Profile Details

NPI number 1417905340
LBN Legal business name Quillan, Lynn D.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated May 13th, 2021 - about 3 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 1417905340 NPPES
South Carolina MEDICAID NP0083

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