John Burton Derrick

NPI # 

Practice Address:

300 Arlington Dr

Vidalia, GA, 30474-0645

Practice Phone:

912-538-0830

License Number:

01655

License State:

GA

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Physician Assistant

Taxonomy Specialization:

Medical

Taxonomy Code:

363AM0700X

Updated by NPPES on 3/7/2023. You can view the original data set for NPI # 1932253606 on the official NPPES website. If the information about this NPI provider/company is outdated and you would like to help us update the information, you can Contact Us. This will only update NPI information on NPIScope.com. See our FAQ page for further information on updating NPI information.

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