Individual
MR. DEQUARUS TERRELL NEVETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRANIAL PROSTHESIS
Contact information
Practice address
407 FAIRFAX DR APT 32, FAIRFIELD, AL 35064-1063
(205) 520-6922
Mailing address
407-32 FAIRFAX DRIVE, FAIRFIELD, AL 35064
(205) 520-6922
Taxonomy
Speciality
Code
Description
License number
State
1744G0900X
Graphics Designer
—
—
1744P3200X
Prosthetics Case Management
Primary
125172
AL
Other
Enumeration date
06/07/2017
Last updated
07/21/2022
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