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C Qualls, M.D. — NPI 1205915840, Providence, RI | NPI Central

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C Qualls, M.D.

NPI 1205915840 · Psychiatry Physician · Providence, RI

Provider details

NPI number: 1205915840
Entity type: Individual
Primary specialty: Psychiatry PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: MD04942 (RI)

Practice location

345 Blackstone Blvd

Weld Bldg

Providence, RI 02906

Phone: (401) 421-0060

Fax: (401) 421-6616

More RI providers

Mailing address

345 Blackstone Blvd

Providence, RI 02906

Registry dates

Enumerated: 2006-11-03
Last updated: 2018-06-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.