Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK K STATEN
Active Sole ProprietorDERRICK K STATEN is a Bus healthcare provider located in MABLETON, Georgia. NPI 1891540555 is currently active in the NPPES registry. Verify at CMS.
Bus · MABLETON, GA
Registration Details
- NPI Number
- 1891540555
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2024 (2.3239057569255 yrs)
- Last Updated
- Apr 17, 2024
- License
-
24064864 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
518 MOUNT GERIZIM RD SEMABLETON, GA, 301266410Browse GA providers · Browse ZIP 30126
- Phone
- 4706542331
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in MABLETON, GA
| Name | Credential | NPI |
|---|---|---|
| MR. ANTONIO MAURICIO GRANT I | MASTER ACCOUNTING | 1184818767 |
| MS. PAMELA ANNETTE DANIEL | — | 1013213453 |
| ROLAND KAREEM HARRIS | — | 1003452384 |
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.