Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRELL L NESMITH, CSA
Active Sole ProprietorDERRELL L NESMITH, CSA is a Surgical Physician Assistant healthcare provider located in KENNESAW, Georgia. NPI 1558696484 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · KENNESAW, GA
Registration Details
- NPI Number
- 1558696484
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 9, 2009 (16.658506716864 yrs)
- Last Updated
- Oct 9, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
3091 COBB PKWY NWKENNESAW, GA, 301525891Browse GA providers · Browse ZIP 30152
- Phone
- 4049320637
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in KENNESAW, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. ILIANA DIAZ HAWKINS | CSA | 1962722041 |
| TELITA ANTHONY | CSA | 1831485861 |
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.