Gerideau, Derick Jermaine
Gerideau, Derick Jermaine is an individual health care provider with primary practice located at 5517 Tunbridge Wells Rd , Lithonia GA 30058-5670. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Gerideau, Derick Jermaine can be contacted via phone (404) 663-8342.Contact Information
Primary practice address
5517 Tunbridge Wells Rd
Lithonia GA 30058-5670
Phone: (404) 663-8342
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1053022426 |
|---|---|
| LBN Legal business name | Gerideau, Derick Jermaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2022 |
| Last updated | Dec 7th, 2022 - about 3 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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