Search › Georgia › 1041C0700X
Judith Derriso, LCSW
NPI 1437148426 · on the registry since 2005
Practice
- Address
- 308 Coliseum Dr
Suite 120
Macon, GA 31217 - Phone
- (478) 745-6130
- Fax
- (478) 745-4443
- Organisation at this address
- Northside Hospital, Inc.
Georgia Cancer Specialists I Pc
Skin Care Physicians Of Georgia, P.C.
Coliseum Park Cancer Treatment Center
Nsh Cancer Institute Professional Services G LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 38
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-09
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