Smith, Derrick

Smith, Derrick is an sole proprietor health care provider with primary practice located at 100 Medley Dr , Leesburg GA 31763-3272. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Smith, Derrick can be contacted via phone (229) 343-8849.

Contact Information

Primary practice address
100 Medley Dr Leesburg GA 31763-3272
Phone: (229) 343-8849
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 17100000X Georgia

Profile Details

NPI number 1003366840
LBN Legal business name Smith, Derrick
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2016
Last updated Oct 5th, 2016 - about 10 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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