Provider Demographics
NPI:1275819120
Name:IT'S JUST AN AIRWAY, RESPIRATORY CONSULTING AND CLINICAL SERVICES
Entity Type:Organization
Organization Name:IT'S JUST AN AIRWAY, RESPIRATORY CONSULTING AND CLINICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DORIAS
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:QUARLES
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:910-223-5172
Mailing Address - Street 1:6803 MANSFIELD CT
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-9710
Mailing Address - Country:US
Mailing Address - Phone:910-261-6919
Mailing Address - Fax:910-339-4217
Practice Address - Street 1:108 HAY ST
Practice Address - Street 2:SUITE 305
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5683
Practice Address - Country:US
Practice Address - Phone:910-223-5172
Practice Address - Fax:910-339-4217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21142278E1000X
NCHC4359251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No2278E1000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedEducationalGroup - Single Specialty