Devin Archer

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Auburn, AL

NPI 1578037016 · NPPES record last updated Jan 17, 2019

Key facts

NPI
1578037016
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
S12386 (AL)
Practice address
2316 Walker Building
Auburn, AL 36849-0001
Phone
(803) 371-2125
NPI assigned
Jan 17, 2019
Sex
Male
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

State licenses

LicenseStateTypeSpecialty
S12386ALMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X S12386 AL Yes

Addresses

Primary practice location

2316 Walker Building
Auburn, AL 36849-0001

Mailing address

301 Vanderlake Dr
York, SC 29745-6366
Phone (803) 371-2125

Other providers in Auburn, AL

All providers in Auburn, AL · Student in an Organized Health Care Education/Training Program in Alabama

Sources for this page

Verify at the official NPI Registry.