Fyfe, Derek A
Fyfe, Derek A is an individual health care provider with primary practice located at 1405 Clifton Rd , Atlanta GA 30322. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Fyfe, Derek A can be contacted via phone (404) 256-2593.Contact Information
Primary practice address
1405 Clifton Rd
Atlanta GA 30322
Phone: (404) 256-2593
Fax: (678) 547-1494
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 039103 | Georgia |
Profile Details
| NPI number | 1366491953 |
|---|---|
| LBN Legal business name | Fyfe, Derek A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366491953 | NPPES |
| Georgia | MEDICAID | 00633553A |
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