Individual
JOSEPH CONRAD DESCHUYTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1113 LITEWOOD CT, HAVELOCK, NC 28532-3236
(252) 349-5639
Mailing address
1113 LITEWOOD CT, HAVELOCK, NC 28532-3236
(252) 349-5639
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A7890
NC
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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