DERRICK SMITH

Contractor

Active Individual
NPI: 1003366840

Practice Address

100 MEDLEY DR
Leesburg, GA 31763

Phone: (229) 343-8849

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes 17100000X (GA)

Frequently Asked Questions

NPI 1003366840 is the National Provider Identifier for DERRICK SMITH, a Contractor provider located in Leesburg, GA. This NPI was enumerated on October 5, 2016.
DERRICK SMITH practices at 100 MEDLEY DR, Leesburg, GA 31763.

Quick Facts

NPI
1003366840
Type
Individual
Enumerated
Oct 5, 2016
Last Updated
Oct 5, 2016

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