Quillian, Harold David
Quillian, Harold David is an sole proprietor health care provider with primary practice located at 1175 Canton St Suite Two, Roswell GA 30075-3616. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Quillian, Harold David can be contacted via phone (770) 594-0700.Contact Information
Primary practice address
1175 Canton St Suite Two
Roswell GA 30075-3616
Phone: (770) 594-0700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY002304 | Georgia |
Profile Details
| NPI number | 1659589349 |
|---|---|
| LBN Legal business name | Quillian, Harold David |
| Credentials | PSY. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1659589349 | NPPES |
| Georgia | MEDICAID | 00829705A |
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