Individual
PENNY DEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
802 7TH ST S, CLANTON, AL 35045-3716
(205) 755-1210
Mailing address
802 7TH ST S, CLANTON, AL 35045-3716
(205) 755-1210
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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