Individual provider · Type 1 NPI

John Burton Derrick

Medical Physician Assistant · Vidalia, GA

NPI number 1932253606 Active

Practice location

300 Arlington Dr
Vidalia, GA 30474-0645

Call (912) 538-0830 Map

Mailing address

300 Arlington Dr, PO Box 645
Vidalia, GA 30475

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X01655 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1932253606

John Burton Derrick's National Provider Identifier is 1932253606, issued on Jan 22, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Vidalia, GA. The record was last updated on Mar 7, 2023.