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General NPI Number Information
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NPI Number | 1316904972
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Entity Type | Individual
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Provider Name | DEBORAH TRAVIS HONEYCUTT MD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 2400 MOUNT ZION PKWY
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City | JONESBORO
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State | GA
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Zip | 30236-2500
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Country | US
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Telephone | 404-365-0966
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Fax | 770-603-3600
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Provider Business Mailing Address
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Address Line | 160 DEER FOREST TRL
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4006
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Country | US
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Telephone | 404-909-9409
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | GA038633
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License Number State | GA
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