Provider Demographics
NPI:1922696822
Name:QUICK CLINIC PLLC
Entity Type:Organization
Organization Name:QUICK CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:D
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-736-0771
Mailing Address - Street 1:2526 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98531-9169
Mailing Address - Country:US
Mailing Address - Phone:360-736-0771
Mailing Address - Fax:844-802-4322
Practice Address - Street 1:2526 COLONIAL DR
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-9169
Practice Address - Country:US
Practice Address - Phone:360-736-0771
Practice Address - Fax:844-802-4322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty