Provider Demographics
NPI:1700684180
Name:QUARLES, ELVIN III (CSFA)
Entity type:Individual
Prefix:
First Name:ELVIN
Middle Name:
Last Name:QUARLES
Suffix:III
Gender:M
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 HENDRIX AVE SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30315-1025
Mailing Address - Country:US
Mailing Address - Phone:470-388-8800
Mailing Address - Fax:
Practice Address - Street 1:194 HENDRIX AVE SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30315-1025
Practice Address - Country:US
Practice Address - Phone:470-388-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant