Individual
JOHN DEVERTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2215 LANGHORNE RD, SUITE 104, LYNCHBURG, VA 24501-1121
(434) 455-3047
(434) 948-4918
Mailing address
2215 LANGHORNE RD, SUITE 104, LYNCHBURG, VA 24501-1121
(434) 455-3047
(434) 948-4918
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101023850
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945441
—
VA
01
—
259448
ANTHEM BLUE SHIELD
VA
01
—
260001465
UNITED HEALTH CARE
VA
Enumeration date
09/29/2006
Last updated
07/08/2007
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