DETAVIUS VEAL

ATLANTA, GA
NPI1063101129
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
363AM0700X Physician Assistant, Medical
Enumeration Date2023-05-04
Last Update Date2023-05-04
Business Address
DETAVIUS VEAL
720 WESTVIEW DR SW
ATLANTA, GA 30310-1458
Phone number: 404-756-1959
Mailing Address
DETAVIUS VEAL
161 LOGANS DR SE
MILLEDGEVILLE, GA 31061-8318
Phone number: