Search › Georgia › 111N00000X
Blakeley Derrick, DC
NPI 1750440053 · on the registry since 2006 · sole proprietor
Practice
- Address
- 127 Wc Bryant Pkwy
Ste A
Calhoun, GA 30701 - Phone
- (706) 629-4999
- Fax
- (706) 629-4799
- Organisation at this address
- Ken Mcafee, Dmd, Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-04-01
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