Detavius Veal, is a
Physician Assistant physician based in Atlanta, Georgia. Detavius Veal is licensed to practice in Georgia (license number 12740) and his current practice location is 80 Jesse Hill Jr Dr Se, Atlanta, Georgia. He can be reached at his office (for appointments etc.) via phone at
(404) 616-1000.
NPI number for Detavius Veal is 1063101129 and his current mailing address is 161 Logans Dr Se, Milledgeville, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063101129.
Physician's Profile
| Full Name | Detavius Veal |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 80 Jesse Hill Jr Dr Se, Atlanta, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063101129
- Provider Enumeration Date: 05/04/2023
- Last Update Date: 11/20/2024
Medical Identifiers
Medical identifiers for Detavius Veal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063101129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 12740 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | 12740 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Detavius Veal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Detavius Veal,
161 Logans Dr Se,
Milledgeville, GA 31061-8318
Ph: () - | Detavius Veal,
80 Jesse Hill Jr Dr Se,
Atlanta, GA 30303-3031
Ph: (404) 616-1000 |
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