Johnathan Donald Debetta

NPI #1164003570 in Lillington, North Carolina

Provider Information

NPI Number
1164003570
Entity Type
Individual
Name
Johnathan Donald Debetta
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Apr 16, 2021
Last Updated
Dec 7, 2021

Practice Location

Address
4350 US 421 S
ZIP Code
27546-6760
Phone
(910) 893-1210

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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