Individual
DENNIS F DEVEREUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 YADKIN ST, SUITE 203, ALBEMARLE, NC 28001-3449
(704) 982-0161
Mailing address
PO BOX 601888, CHARLOTTE, NC 28260-1888
(704) 982-0161
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2006-01764
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144W1
BCBS
NC
05
—
1770563355
—
NC
05
—
5906239
—
NC
Enumeration date
01/19/2006
Last updated
01/30/2017
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