Derrick Smith
Contractor · Leesburg, GA
Practice location
100 Medley DrLeesburg, GA 31763-3272
- Phone
- (229) 343-8849
NPI record
- NPI
- 1003366840
- Entity type
- Individual (Type 1)
- Enumeration date
- October 5, 2016
- Last updated
- October 5, 2016
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
17100000X | GA |
About Derrick Smith
Derrick Smith is a healthcare provider registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 100 Medley Dr, Leesburg, GA 31763-3272. The NPI number 1003366840 was assigned on October 5, 2016 and the record was last updated on October 5, 2016.
Derrick Smith lists a license in the registry: #17100000X (GA) for Contractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Derrick Smith?
The NPI number is 1003366840.
What is the phone number of Derrick Smith?
The phone number listed for the practice location is (229) 343-8849.
Where is Derrick Smith located?
100 Medley Dr, Leesburg, GA 31763-3272.
What is the taxonomy code for Derrick Smith?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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