Individual
JEFFREY LYNN DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 MILLER ST, SUITE 207 C, WINSTON SALEM, NC 27103-2508
(336) 883-2500
(336) 883-9728
Mailing address
131 MILLER ST, SUITE 207 C, WINSTON SALEM, NC 27103-2508
(336) 883-2500
(336) 883-9728
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
38926
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
189420
MEDCOST
—
01
—
28024
BCBS
—
01
—
3300291
UNITED HEALTHCARE
—
Enumeration date
12/02/2005
Last updated
09/07/2016
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