Provider Demographics
NPI:1528640828
Name:QUARSHIE, BETTY QUINNSHANNA (MED)
Entity type:Individual
Prefix:MRS
First Name:BETTY
Middle Name:QUINNSHANNA
Last Name:QUARSHIE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CADOGAN DR
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-6811
Mailing Address - Country:US
Mailing Address - Phone:864-991-7554
Mailing Address - Fax:
Practice Address - Street 1:439 CONGAREE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2867
Practice Address - Country:US
Practice Address - Phone:864-991-7554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care