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Derrick Smith
NPI 1003366840 · on the registry since 2016 · sole proprietor
Practice
- Address
- 100 Medley Dr
Leesburg, GA 31763 - Phone
- (229) 343-8849
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia