Derek West

NPI 1821734856 · on the registry since 2022

Practice

Address: 500 Windsor Way
Fairburn, GA 30213
Phone: (404) 786-8598
Organisation at this address: Caregistics Of Georgia Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 376K00000X
376K00000X
Also registered as: 163W00000X
372600000X
163WA2000X
163WH0200X
163WP0200X
163WW0000X
172A00000X
374U00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-05-11

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