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
Fax: (678) 547-1494
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366491953 NPPES
Georgia MEDICAID 00633553A

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