Individual
DETAVIUS VEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
161 LOGANS DR SE, MILLEDGEVILLE, GA 31061-8318
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12740
GA
363A00000X
Physician Assistant
Primary
12740
GA
Other
Enumeration date
05/04/2023
Last updated
11/20/2024
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