|
PROVIDER INFORMATION |
| NAME |
PUBLIC JOHN QUINN |
| CREDENTIAL |
MEDICAL DOCTOR |
| ADDRESS |
4101 PROMENADE PLAZA
DALTON, GA 30720-2588 WHITFIELD COUNTY
PHONE: 706 226-8976
FAX: 706 226-9909
LAST UPDATE: 08-05-200
|
|
4003 SOUTH LAWN PKWY
MEMPHIS, TN 38103-3403 SHELBY COUNTY
PHONE: 901 759-3768
4003 SOUTH LAWN PKWY
LAST UPDATE: 07-15-2002
|
| AREA OF PRACTICE |
ORTHOPEDIC SURGERY LAST UPDATED: 07-15-2004 |
|
SPORTS MEDICINE LAST UPDATED: 07-15-2004 |
|
ORTHOPEDICS LAST UPDATED: 07-08-2004 |
| EDUCATION |
UNIV OF TENNESSEE 1995 |
| RESIDENCIES |
RESIDENCY - BAPTIST MEMORIAL HOSP OF MEMPHIS - GERMANTOWN TN 07-01-1995 to 06-30-1996 |
|
RESIDENCY - UNIV OF TENNESSEE AT MEMPHIS TN 07-01-1996 to 06-30-1999 |
| GOVERNMENT |
ACTIVE DEA REGISTRATION AS OF 07-02-2004 EXPIRES 08-31-2006
DRUG CLASSIFICATIONS - ABLE TO PRESCRIBE
SCHEDULE 1 SUBSTANCES NO
SCHEDULE 2 NARCOTIC SUBSTANCES YES
SCHEDULE 2N NON-NARCOTIC SUBSTANCES YES
SCHEDULE 3 NARCOTIC SUBSTANCES YES
SCHEDULE 3N NON-NARCOTIC SUBSTANCES YES
SCHEDULE 4 SUBSTANCES YES
SCHEDULE 5 SUBSTANCES YES
|
| GENDER |
MALE |
| YEAR OF BIRTH |
1968 |
|
LICENSE INFORMATION |
| LICENSE #1 |
|
| ISSUE DATE |
05-01-2000 |
| EXPIRATION DATE |
12-31-2003 |
| LICENSE STATUS |
NON RENEWAL LAPSED |
| LICENSE STATE |
GA |
| TYPE |
PHYSICIANS AND OSTEOPATHS |
| LICENSE #2 |
|
| ISSUE DATE |
05-01-2000 |
| EXPIRATION DATE |
02-28-2005 |
| LICENSE STATUS |
ACTIVE |
| LICENSE STATE |
TN |
| TYPE |
MEDICAL DOCTOR |
|
LICENSE RELATED ACTIONS |
| License related actions and items, including disciplinary actions, sanctions, consent orders, consent agreements, dismissals, non-disciplinary communications, advisory letters and other licensing information. |
| NO LICENSE RELATED ACTION FOUND |