Provider Demographics
NPI:1316904972
Name:HONEYCUTT, DEBORAH TRAVIS (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:TRAVIS
Last Name:HONEYCUTT
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 DEER FOREST TRL
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-4006
Mailing Address - Country:US
Mailing Address - Phone:404-909-9409
Mailing Address - Fax:
Practice Address - Street 1:2400 MOUNT ZION PKWY
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-2500
Practice Address - Country:US
Practice Address - Phone:404-365-0966
Practice Address - Fax:770-603-3600
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA038633207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP00401499OtherRAILROAD MEDICARE
GA000618516DMedicaid
GA08CBCJDMedicare PIN