Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK SMITH
Active Sole ProprietorDERRICK SMITH is a Contractor healthcare provider located in LEESBURG, Georgia. NPI 1003366840 is currently active in the NPPES registry. Verify at CMS.
Contractor · LEESBURG, GA
Registration Details
- NPI Number
- 1003366840
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 5, 2016 (9.7135473895113 yrs)
- Last Updated
- Oct 5, 2016
- License
-
17100000X (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 MEDLEY DRLEESBURG, GA, 317633272Browse GA providers · Browse ZIP 31763
- Phone
- 2293438849
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in LEESBURG, GA
| Name | Credential | NPI |
|---|---|---|
| DR. SINAY P EDWARDS | — | 1255889002 |
| ANGELA CARR | — | 1932636677 |
| LAKEISHA COVIN | — | 1730691015 |
| PATRINA JIMMERSON | — | 1003308594 |
| LINDA FAYE FIELDS | — | 1528523693 |
| CHER RENEE SHELL | — | 1255990115 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.