Search › Georgia › 363L00000X
Derrick Easom
NPI 1487138251 · on the registry since 2018
Practice
- Address
- 2810 N Oak St
Valdosta, GA 31602 - Phone
- (229) 938-6495
- Organisation at this address
- Azalea Center For Plastic Surgery Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-05
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