James Randall Deatherage in Brewton - Dentist
James Randall Deatherage - NPI 1265543797
James Randall Deatherage is a Dentist in Brewton, Alabama. James Randall Deatherage practices all healthcare services and medical treatments related to Dentist. The NPI Number for James Randall Deatherage is 1265543797. The last update date is 2007-07-08.
James Randall Deatherage's current location address is 422 Douglas Avenue, Brewton, Alabama. You can contact this provider via phone number 2518676837 and fax number 2518676278. The mailing address for James Randall Deatherage is 422 Douglas Avenue, Brewton, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Randall Deatherage |
|---|---|
| Address | 422 Douglas Avenue, Brewton, Alabama |
| Phone Number | 2518676837 |
| Fax Number | 2518676278 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1265543797 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 422 Douglas Avenue |
|---|---|
| City | Brewton |
| State | Alabama (AL) |
| Post Code | 36426 |
| Phone Number | 2518676837 |
| Fax Number | 2518676278 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4913 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to James Randall Deatherage by the Centers for Medicare & Medicaid Services?
The James Randall Deatherage has been assigned the NPI (National Provider Identifier) 1265543797 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where James Randall Deatherage is physically located?
The James Randall Deatherage is situated at the following address: 422 Douglas Avenue, Brewton, AL 36426.
What is James Randall Deatherage's specialized field of practice, and what is the corresponding taxonomy classification code?
The James Randall Deatherage's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the James Randall Deatherage receive the assignment of its 1265543797 from the Centers for Medicare & Medicaid Services?
The James Randall Deatherage was issued its 1265543797 by the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the information related to James Randall Deatherage most recently updated or refreshed?
The details pertaining to the James Randall Deatherage, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.