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Allison Deatherage, PHD
NPI 1659585099 · on the registry since 2007 · sole proprietor
Practice
- Address
- 204 W Hill Blvd
Charleston Afb, SC 29404 - Phone
- (843) 963-6852
- Organisation at this address
- United States Air Force
628th Medgrp-Charleston
628th Medgrp-CharlestonInferred from a shared address, not stated in the registry. - Clinicians at this address
- 39
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-11-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina