Mack O'Quinn, MSW

NPI 1801854807 · on the registry since 2006 · sole proprietor

Practice

Address: 700 24th Street
Kenner Army Health Clinic
Fort Lee, VA 23801
Phone: (804) 734-9149
Fax: (877) 874-1008
Organisation at this address: Tahayya A.M Ansari
Kenner Army Health Clinic
Kenner Army Health Clinic
Kenner Army Health Clinic
Ahc Kenner-Ft Gregg-Adams
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 143

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: HI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-04-08

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 Virginia