DESHUN MCCLUSKEY PA-C NPI 1194502617

NPI Information

NPI: 1194502617
Provider Name: DESHUN MCCLUSKEY, PA-C
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
24 AMHERST DR
WINDER, GA
ZIP 30680
Phone: (470) 900-4368
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Deshun Mccluskey, PA-C is a family medicine in Winder, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Deshun Mccluskey, PA-C NPI is 1194502617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24 AMHERST DR
WINDER, GA
ZIP 30680-463
Phone: (470) 900-4368

The enumeration date for this NPI number is 9/8/2023 and was last updated on 9/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		11848	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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