Derrick Smith

Contractor · Leesburg, GA

Individual Active NPI

NPI number 1003366840

Practice location

100 Medley Dr
Leesburg, GA 31763-3272
Phone
(229) 343-8849

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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

TaxonomyCodeLicenseState
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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