Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICKEY JAMES DEAVERS, DMSC, MPAS, PA-C
ActiveMICKEY JAMES DEAVERS, DMSC, MPAS, PA-C is a Physician Assistant healthcare provider located in CAMP LEJEUNE, North Carolina. NPI 1265402739 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CAMP LEJEUNE, NC
Registration Details
- NPI Number
- 1265402739
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 25, 2006 (20.368375696542 yrs)
- Last Updated
- May 12, 2022
- License
-
0010-01845 (NC)
Practice Information
- Address
-
100 BREWSTER BLVDCAMP LEJEUNE, NC, 285472538Browse NC providers · Browse ZIP 28547
- Phone
- 9104504831
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CAMP LEJEUNE, NC
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT GLINCOSKY | MPAS PA-C | 1316911183 |
| TERRY LEE STUART | PA-C | 1841269909 |
| MR. KEVIN SCOTT KOCH SR. | PA-C | 1073582797 |
| EDWARD BANGOR | PA | 1306852165 |
| KEVIN J. KING | PA-C | 1093800658 |
| TIMOTHY MARSHALL HACKLER | — | 1043367170 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.