Deborah Cameron

Individual provider Active NPI Private Vehicle · Waterproof, LA

NPI 1558713784 · NPPES record last updated Jul 12, 2016

Key facts

NPI
1558713784
Entity type
Individual (NPI type 1)
Primary specialty
Private Vehicle 347C00000X
Practice address
8716 Hwy 65 South
Waterproof, LA 71375-0000
Phone
(615) 693-2716
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X
Private Vehicle 347C00000X Yes

Addresses

Primary practice location

8716 Hwy 65 South
Waterproof, LA 71375-0000

Mailing address

8716 Hwy 65 South
Waterproof, LA 71375
Phone (615) 693-2716

Other providers in Waterproof, LA

All providers in Waterproof, LA · Private Vehicle in Louisiana

Sources for this page

Verify at the official NPI Registry.