Provider Demographics
NPI:1083678619
Name:DEVERS, PATRICIA M (DO)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:M
Last Name:DEVERS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:PATRICIA
Other - Middle Name:M
Other - Last Name:NOVOBILSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:21 MARKET
Mailing Address - Street 2:B-2
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29906
Mailing Address - Country:US
Mailing Address - Phone:843-379-0601
Mailing Address - Fax:
Practice Address - Street 1:955 RIBAUT RD
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-5441
Practice Address - Country:US
Practice Address - Phone:843-522-5005
Practice Address - Fax:843-522-5017
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC00573207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H03739Medicare UPIN