MICKEY DEAVERS, DMSC, MPAS, PA-C
Physician Assistant
Active
Individual
NPI: 1265402739
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 0010-01845 (NC) |
Frequently Asked Questions
NPI 1265402739 is the National Provider Identifier for MICKEY DEAVERS, DMSC, MPAS, PA-C, a Physician Assistant provider located in Camp Lejeune, NC. This NPI was enumerated on January 25, 2006.
MICKEY DEAVERS, DMSC, MPAS, PA-C practices at 100 BREWSTER BLVD, Camp Lejeune, NC 28547.
Quick Facts
- NPI
- 1265402739
- Type
- Individual
- Enumerated
- Jan 25, 2006
- Last Updated
- May 12, 2022
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