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De'Voncia Mickins
NPI 1992383103 · on the registry since 2021
Practice
- Address
- 104 E Old Us 74/76
Lake Waccamaw, NC 28450 - Phone
- (252) 521-0773
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-03-30
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 North Carolina