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Search › South Carolina › 103TC0700X

Justin Quattlebaum, PH.D

NPI 1780961433 · on the registry since 2011 · sole proprietor

Practice

Address
109 Bee St
Charleston, SC 29401
Phone
(310) 890-9930
Organisation at this address
Charleston Vamc
Charleston Vamc
Charleston Vamc
Charleston Vamc
Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
709

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Also registered as
103TC2200X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-11-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina