Provider Demographics
NPI:1942857297
Name:QUIET HEARTBEAT LLC
Entity Type:Organization
Organization Name:QUIET HEARTBEAT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPRATIONS OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DEVAUGHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-219-3895
Mailing Address - Street 1:101 KING ARTHURS WAY APT 203
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22406-6421
Mailing Address - Country:US
Mailing Address - Phone:540-219-3895
Mailing Address - Fax:
Practice Address - Street 1:101 KING ARTHURS WAY APT 203
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22406-6421
Practice Address - Country:US
Practice Address - Phone:540-219-3895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-21
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty