Individual provider · Type 1 NPI

Jacqueline O. Quintero, DPM

Primary Podiatric Medicine Podiatrist · Decatur, GA

NPI number 1992101075 Active

Practice location

4758 Longview Run
Decatur, GA 30035-6001

Specialties and licenses

TaxonomyCodeLicense
Primary Podiatric Medicine Podiatrist 213EP1101X06651 (NY)
Foot Surgery Podiatrist 213ES0131X06651 (NY)
Primary Podiatric Medicine Podiatrist Primary 213EP1101XPOD001467 (GA)

Primary Podiatric Medicine Podiatrist: Definition to come...

Another provider at this address

About NPI 1992101075

Jacqueline O. Quintero, DPM's National Provider Identifier is 1992101075, issued on Nov 17, 2014. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Decatur, GA. The record was last updated on May 2, 2022.