Individual
JIMMY DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
181 E CHICAGO ST, QUINCY, MI 49082-1165
(517) 639-7300
Mailing address
1234 E PITTSBURG CHURCH RD, LONDON, KY 40741-9046
(606) 813-5556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010721
MI
Other
Enumeration date
06/16/2020
Last updated
10/18/2021
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