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Darian Michael Quigg

Student in an Organized Health Care Education/Training Program

Student, Health Care

809 82nd Street Parkway, Myrtle Beach, SC 29572

PECOS Enrollment

This provider is enrolled in PECOS as DARIAN QUIGG.

Based on the most recent information from CMS, provider Darian Michael Quigg is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1922636919
Provider Type
Individual
Full Name
Quigg, Darian Michael
Gender
Male

Sole Proprietor
No
Enumeration Date
3/27/2020
Last Updated
3/30/2020

Contact Information

Practice Location

809 82nd Street Parkway, Myrtle Beach, SC 29572

(843) 692-1752

(843) 692-1904

Mailing Location

3154 English Ivy Ln, Buford, GA 30519-7813

(770) 335-4894

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Darian Michael Quigg

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Jackson, Krista

Smith, Lincoln T

Hensel, Zachery William

Wilkes, Joshua Andrew

Mariner, Courtney Renee

Bowling, Jake

Koguru, Yashaswi

Mejia, Ilse

Hulse, Sutton A

Patel, Pooja M