Organization · Type 2 NPI
H Clark Deriso M.d.p.c.
Specialist · Savannah, GA
NPI number
1245412352
Active
Practice location
38 Medical Arts Center
Savannah, GA 31405-4155
Fax (912) 692-0754
Mailing address
38 Medical Arts Ctr
Savannah, GA 31405-4415
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 013026 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1245412352
H Clark Deriso M.d.p.c.'s National Provider Identifier is 1245412352, issued on Nov 30, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Savannah, GA. The record was last updated on Dec 6, 2007.