| Doctor Name: | MS. SANDRA L QUINONES |
| NPI Number: | 1104243302 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN204813 |
| Business Practice Address: | 300 E. Hospital Road Ft Gordon, GA - 30905 |
| Business Phone Number: | 7067876945 |
| Business Fax Number: | 7067878131 |
| Mailing Address: | 300 E. Hospital Road, FT GORDON |
| State: | GA |
| Postal Code: | 30905 |
| Phone Number: | 7067876945 |
| Fax Number: | 7067878131 |
| NPI Enumeration Date: | 03/25/2014 |
| NPI Last Update Date: | 03/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | RN204813 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |