| James Randall Deatherage, | |
|
422 Douglas Avenue, Brewton, AL 36426 | |
| (251) 867-6837 | |
| (251) 867-6278 |
| Full Name | James Randall Deatherage |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 422 Douglas Avenue, Brewton, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265543797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4913 (Alabama) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| James Randall Deatherage, 422 Douglas Avenue, Brewton, AL 36426 Ph: (251) 867-6837 | James Randall Deatherage, 422 Douglas Avenue, Brewton, AL 36426 Ph: (251) 867-6837 |
Dr. Shai Tanyette Hall, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1503 Mcmillan Ave, Brewton, AL 36426 Phone: 251-809-6058 | |
Andria P Caldwell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1115 Azalea Place, Brewton, AL 36426 Phone: 251-809-3925 Fax: 251-809-6058 | |
Brian Keith Miller, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 420 Douglas Ave, Brewton, AL 36426 Phone: 251-867-5625 Fax: 251-867-5648 | |
Dr. Reese John Robinson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 102 Mason St, Brewton, AL 36426 Phone: 251-867-3273 Fax: 251-867-3274 | |
Dr. Gus Bahos, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1115 Azalea Pl, Brewton, AL 36426 Phone: 251-809-3925 Fax: 251-809-6058 | |
Laurentis L Barnett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1115 Azalea Pl, Brewton, AL 36426 Phone: 251-809-3925 Fax: 251-809-6058 |