Healthcare Provider Details

I. General information

NPI: 1134548233
Provider Name (Legal Business Name): JOSHUA MCDEVITT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2014
Last Update Date: 03/08/2022
Certification Date: 03/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BREWSTER BLVD NMRTC CAMP LEJEUNE
CAMP LEJEUNE NC
28547
US

IV. Provider business mailing address

100 BREWSTER BLVD NMRTC CAMP LEJEUNE
CAMP LEJEUNE NC
28547
US

V. Phone/Fax

Practice location:
  • Phone: 910-450-4700
  • Fax:
Mailing address:
  • Phone: 910-450-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number0101264913
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101264913
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: