Derrick, Bobby Lee

Derrick, Bobby Lee is an individual health care provider with primary practice located at 117 Kite Rd , Swainsboro GA 30401-3231. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Derrick, Bobby Lee can be contacted via phone (478) 289-1368.

Contact Information

Primary practice address
117 Kite Rd Swainsboro GA 30401-3231
Phone: (478) 289-1368
Fax: (478) 289-1300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 019510 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 019510 Georgia

Profile Details

NPI number 1124100359
LBN Legal business name Derrick, Bobby Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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