Individual
MRS. FELICITY A DEVAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
790 CHURCH ST NE STE 510, MARIETTA, GA 30060-8957
(404) 554-2196
(615) 791-4531
Mailing address
711 CANTON RD NE, STE 220, MARIETTA, GA 30060-8949
(615) 791-4790
(615) 791-4531
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1294
TN
Other
Enumeration date
03/08/2007
Last updated
03/12/2019
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