Provider Demographics
NPI:1386181584
Name:MCQUAY, DEBBIE
Entity Type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:
Last Name:MCQUAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:386 NE THISTLE AVE
Mailing Address - Street 2:
Mailing Address - City:PINETTA
Mailing Address - State:FL
Mailing Address - Zip Code:32350-2624
Mailing Address - Country:US
Mailing Address - Phone:850-464-6270
Mailing Address - Fax:
Practice Address - Street 1:386 NE THISTLE AVE
Practice Address - Street 2:
Practice Address - City:PINETTA
Practice Address - State:FL
Practice Address - Zip Code:32350-2624
Practice Address - Country:US
Practice Address - Phone:850-464-6270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator