Search › Georgia › 126800000X
Dereka Mckissack
NPI 1124469705 · on the registry since 2013 · sole proprietor
Practice
- Address
- 374 N Deshon Rd Ste D
Stone Mountain, GA 30087 - Phone
- (770) 469-4192
- Fax
- (770) 469-4195
Registry record
- Primary taxonomy
- 126800000X
126800000X
- Sex
- Female
- Record last updated
- 2013-07-11
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