Provider Demographics
NPI:1114128527
Name:DORVIL, DEBORAH ALICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ALICIA
Last Name:DORVIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DEBORAH
Other - Middle Name:ALICIA
Other - Last Name:CUMMINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3551 S PEAK DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28306-9573
Mailing Address - Country:US
Mailing Address - Phone:910-908-2202
Mailing Address - Fax:910-908-2241
Practice Address - Street 1:3551 S PEAK DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-9573
Practice Address - Country:US
Practice Address - Phone:910-908-2202
Practice Address - Fax:910-908-2241
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-01351207Q00000X
FLME99501207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine