Healthcare Provider Details

I. General information

NPI: 1427237015
Provider Name (Legal Business Name): DAVID SCOTT DEUSER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 08/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 COASTAL VILLAGE DR
BRUNSWICK GA
31520-1974
US

IV. Provider business mailing address

505 BENTON DRIVE
POOLER GA
31322
US

V. Phone/Fax

Practice location:
  • Phone: 912-554-8510
  • Fax: 912-368-6844
Mailing address:
  • Phone: 917-828-7303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number65100
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number65100
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: