Provider Demographics
NPI:1215623921
Name:DEVEAUX, NAPOLEON
Entity type:Individual
Prefix:MR
First Name:NAPOLEON
Middle Name:
Last Name:DEVEAUX
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 1:1212 CONGAREE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:GADSDEN
Mailing Address - State:SC
Mailing Address - Zip Code:29052-9768
Mailing Address - Country:US
Mailing Address - Phone:180-396-0526
Mailing Address - Fax:
Practice Address - Street 1:117 CHALK STREET
Practice Address - Street 2:
Practice Address - City:EASTOVER
Practice Address - State:SC
Practice Address - Zip Code:29044-2904
Practice Address - Country:US
Practice Address - Phone:803-381-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC25093164W00000X, 164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse