DETAVIUS VEAL

ATLANTA, GA
NPI1063101129
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  12740)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: GA  12740)
Enumeration Date2023-05-04
Last Update Date2024-11-20
Business Address
DETAVIUS VEAL
80 JESSE HILL JR DR SE
ATLANTA, GA 30303-3031
Phone number: 404-616-1000
Mailing Address
DETAVIUS VEAL
161 LOGANS DR SE
MILLEDGEVILLE, GA 31061-8318
Phone number: