MICKEY JAMES DEAVERS

CAMP LEJEUNE, NC
NPI1265402739
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-01845)
Enumeration Date2006-01-25
Last Update Date2022-05-12
Business Address
MICKEY JAMES DEAVERS DMSC, MPAS, PA-C
100 BREWSTER BLVD
CAMP LEJEUNE, NC 28547-2538
Phone number: 910-450-4831
Mailing Address
MICKEY JAMES DEAVERS DMSC, MPAS, PA-C
CHARLES LUKE MILAM CLINIC BLDG 440
CAMP LEJEUNE, NC 28542-0117
Phone number: 910-440-1565
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