Mcdevitt, Daniel Thomas

Mcdevitt, Daniel Thomas is an individual health care provider with primary practice located at 1035 Southcrest Dr Suite 250, Stockbridge GA 30281-6118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Mcdevitt, Daniel Thomas can be contacted via phone (770) 996-9945.

Contact Information

Primary practice address
1035 Southcrest Dr Suite 250 Stockbridge GA 30281-6118
Fax: (770) 996-7355
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 037025 Georgia

Profile Details

NPI number 1174676829
LBN Legal business name Mcdevitt, Daniel Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Mar 17th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174676829 NPPES
Georgia Other 1861090-012 CIGNA
Georgia Other 581800973 CIGNA
Georgia Other 770001325 CIGNA
Georgia Other 281529 CIGNA
Georgia MEDICAID 000546521C CIGNA
Georgia Other 0486348 CIGNA
Georgia Other 52451306002 CIGNA

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