JAMES RANDALL DEATHERAGE

NPI: 1265543797 · Individual · Active

Primary Specialty

Dentist

Practice Location

422 DOUGLAS AVENUE
BREWTON, AL 36426 Map ↗
Phone: 251-867-6837
Fax: 251-867-6278

All Specialties & Licenses

  • Dentist Primary (license: 4913, AL)

NPI Registration

Enumerated: 2006-08-31

Last CMS Update: 2007-07-08