| Wesley Quarles Np Corporation | |
|
2447 Powell St Southside AL 35907-7761 | |
| (256) 458-2140 | |
| Not Available |
| Full Name | Wesley Quarles Np Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 2447 Powell St, Southside, Alabama |
| Authorized Official Name and Position | Wesley Lee Quarles (OWNER) |
| Authorized Official Contact | 2564582140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wesley Quarles Np Corporation 2447 Powell St Southside AL 35907-7761 Ph: (256) 458-2140 | Wesley Quarles Np Corporation 2447 Powell St Southside AL 35907-7761 Ph: (256) 458-2140 |
| NPI Number | 1073288924 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073288924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Southside Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 Highway 77, Southside, AL 35907 Phone: 256-442-7423 Fax: 256-442-6762 |