NPI 1003521022
Quaniqua Carlie, COO
Practice location
- Address
- 2610 Milledgeville Rd, Augusta, GA 30904-5110
- Phone
- (804) 300-6723
- Mailing address
- 750 Fordham Rd, Grovetown, GA 30813-0400
Registered specialties (2)
Community Health Worker
Primary
Case Manager/Care Coordinator
Registry record
- NPI
- 1003521022
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Jan 2023
- Record last updated
- 20 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.