Derusso, Gary
Derusso, Gary is an individual health care provider with primary practice located at 3950 Austell Rd , Austell GA 30106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Derusso, Gary can be contacted via phone (770) 732-3585.Contact Information
Primary practice address
3950 Austell Rd
Austell GA 30106
Phone: (770) 732-3585
Fax: (770) 732-3589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | 83581 | Georgia |
Profile Details
| NPI number | 1548657398 |
|---|---|
| LBN Legal business name | Derusso, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2015 |
| Last updated | Sep 26th, 2019 - about 5 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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