Provider Demographics
NPI:1205647955
Name:PEYTON, DAVON LYNNWOOD
Entity type:Individual
Prefix:
First Name:DAVON
Middle Name:LYNNWOOD
Last Name:PEYTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 11TH ST NW APT 302
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-3350
Mailing Address - Country:US
Mailing Address - Phone:202-421-5828
Mailing Address - Fax:
Practice Address - Street 1:4005 9TH ST NE APT 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-3704
Practice Address - Country:US
Practice Address - Phone:202-200-7357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant