Quinetra Gathers
Quinetra Gathers is a Physician Assistant in Birmingham, Alabama. Qualified in 2023, 3 years ago. Practices with Opportunities Industrialization Center, Inc, a 9-clinician group and accepts Medicare assignment.
- Years since qualifying
- 3
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1716 9th Ave SBirmingham, AL 35233-1124
Phone: (205) 934-5149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1639853534 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 12, 2023 |
| Last updated in NPPES | June 12, 2023 |
| Certification date | June 12, 2023 |
| Mailing address | 2153 17th Ave S, Birmingham, AL 35205-5024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Opportunities Industrialization Center, Inc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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Lauren Elizabeth Gerace
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