| Mickey James Deavers, DMSC, MPAS, PA-C | |
|
100 Brewster Blvd, Camp Lejeune, NC 28547-2538 | |
| (910) 450-4831 | |
| Not Available |
| Full Name | Mickey James Deavers |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 100 Brewster Blvd, Camp Lejeune, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265402739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-01845 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mickey James Deavers, DMSC, MPAS, PA-C Charles Luke Milam Clinic, Bldg 440, Camp Lejeune, NC 28542-0117 Ph: (910) 440-1565 | Mickey James Deavers, DMSC, MPAS, PA-C 100 Brewster Blvd, Camp Lejeune, NC 28547-2538 Ph: (910) 450-4831 |
Timothy Marshall Hackler, Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-3905 | |
Mr. Kaleb Hart, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 | |
Allison Dowdey, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4300 | |
Mr. Kevin Scott Koch Sr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4520 | |
Mr. Derek Edward Weiss, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: Naval Medical Center, 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4740 | |
Kevin J. King, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4136 | |
David G. Bennett, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4799 |