Deavers, Mickey James
Deavers, Mickey James is an individual health care provider with primary practice located at 100 Brewster Blvd , Camp Lejeune NC 28547-2538. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Deavers, Mickey James can be contacted via phone (910) 450-4831.Contact Information
Primary practice address
100 Brewster Blvd
Camp Lejeune NC 28547-2538
Phone: (910) 450-4831
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-01845 | North Carolina |
Profile Details
| NPI number | 1265402739 |
|---|---|
| LBN Legal business name | Deavers, Mickey James |
| Credentials | DMSC, MPAS, PA-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | May 12th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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