| Dr Mary Lou Devaul - Eshleman, DO | |
|
605 Osborne St, St Marys, GA 31558-1331 | |
| (919) 946-2702 | |
| Not Available |
| Full Name | Dr Mary Lou Devaul - Eshleman |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 605 Osborne St, St Marys, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104972025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 68402 (Georgia) | Primary |
| Entity Name | Community Service Board of Middle Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689657637 PECOS PAC ID: 3173518644 Enrollment ID: O20040415000940 |
| Entity Name | Pathways Center for Behavioral and Developmental Growth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124183082 PECOS PAC ID: 5193712073 Enrollment ID: O20040430000883 |
| Entity Name | Department of Behavioral Health and Developmental Disabilities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902030307 PECOS PAC ID: 7416002506 Enrollment ID: O20090825000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Lou Devaul - Eshleman, DO 605 Osborne St, Saint Marys, GA 31558-8410 Ph: (919) 946-2702 | Dr Mary Lou Devaul - Eshleman, DO 605 Osborne St, St Marys, GA 31558-1331 Ph: (919) 946-2702 |