Nesmith, Derrell L

Nesmith, Derrell L is an sole proprietor health care provider with primary practice located at 3091 Cobb Pkwy Nw , Kennesaw GA 30152-5891. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Nesmith, Derrell L can be contacted via phone (404) 932-0637.

Contact Information

Primary practice address
3091 Cobb Pkwy Nw Kennesaw GA 30152-5891
Phone: (404) 932-0637
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1558696484
LBN Legal business name Nesmith, Derrell L
Credentials CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2009
Last updated Oct 9th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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