Provider Demographics
NPI:1386461622
Name:POSTON, DEON
Entity type:Individual
Prefix:
First Name:DEON
Middle Name:
Last Name:POSTON
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 1:3235 SATELLITE BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-8688
Mailing Address - Country:US
Mailing Address - Phone:888-828-9197
Mailing Address - Fax:
Practice Address - Street 1:140 JACOBS LN
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-3368
Practice Address - Country:US
Practice Address - Phone:678-622-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver