TODD DEAVENS

EAGLE'S LANDING FAMILY PRACTICE, INC.

Dr TODD DEAVENS is a male medical professional, specializing in Family Medicine. He graduated in 2010.

Contact

EAGLE'S LANDING FAMILY PRACTICE, INC.

1101 NORTEC SEDR
CONYERS
GA
300135835

Tel: 6783747514

TODD DEAVENS Information

Npi 1467749176
Pac Id 8426206392
Professional Enrollment Id I20150410001017
Last Name DEAVENS
First Name TODD
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name EAGLE'S LANDING FAMILY PRACTICE, INC.
Group Practice Pac Id 8022901925
Number Of Group Practice Members 64
Line 1 Street Address 1101 NORTEC SEDR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CONYERS
State GA
Zip Code 300135835
Phone Number 6783747514
Hospital Affiliation Ccn 1 110091
Hospital Affiliation Lbn 1 PIEDMONT ROCKDALE HOSPITAL
Hospital Affiliation Ccn 2 110018
Hospital Affiliation Lbn 2 PIEDMONT NEWTON HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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