Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN BURTON DERRICK
Active Sole ProprietorJOHN BURTON DERRICK is a Medical Physician Assistant healthcare provider located in VIDALIA, Georgia. NPI 1932253606 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · VIDALIA, GA
Registration Details
- NPI Number
- 1932253606
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2007 (19.37859122217 yrs)
- Last Updated
- Mar 7, 2023
- License
-
01655 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 ARLINGTON DRVIDALIA, GA, 304740645Browse GA providers · Browse ZIP 30474
- Phone
- 9125380830
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in VIDALIA, GA
| Name | Credential | NPI |
|---|---|---|
| DUSTIN J CARTER | MPAS, PA-C | 1982698361 |
| ROBERT LEE ARNOLD | MPAS, PA-C | 1265426639 |
| LEAH M WALLER | PA | 1962873711 |
| MR. DANIEL LAUREN DASHER | MSPA, PA-C | 1689163685 |
| ESTHER HARVEY CLEMENTS | PA | 1861050890 |
| HUNTER E LYNN | PA-C | 1184226706 |
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.