Search › Georgia › 163WM0102X
Angela Deraad
NPI 1619409224 · on the registry since 2017
Practice
- Address
- 1175 Cascade Pkwy Sw
Atlanta, GA 30311 - Phone
- (706) 415-2862
- Organisation at this address
- Kaiser Foundation Health Plan Of Georgia Inc.
Kaiser Foundation Health Plan Of Georgia, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 163WM0102X
163WM0102X
- Also registered as
- 163WL0100X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-04-02
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