Penny Deavers
Individual provider Active NPI Contractor · Clanton, AL
NPI 1619306271 · NPPES record last updated Nov 4, 2013
Key facts
- NPI
- 1619306271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 802 7TH St S
Clanton, AL 35045-3716 - Phone
- (205) 755-1210
- NPI assigned
- Nov 4, 2013
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
802 7TH St S
Clanton, AL 35045-3716
Mailing address
802 7TH St S
Clanton, AL 35045-3716
Phone (205) 755-1210
Other providers in Clanton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.