Klemm, Derek Arthur
Klemm, Derek Arthur is an individual health care provider with primary practice located at 396 Historic Highway 441 N , Demorest GA 30535. He recently has 5 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Klemm, Derek Arthur can be contacted via phone (706) 754-4348.Contact Information
Primary practice address
396 Historic Highway 441 N
Demorest GA 30535
Phone: (706) 754-4348
Fax: (706) 754-0731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PS47555 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 080289 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS14186 | Florida |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | UO4670 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 080289 | Georgia |
Profile Details
| NPI number | 1225300494 |
|---|---|
| LBN Legal business name | Klemm, Derek Arthur |
| Credentials | D.O., PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2012 |
| Last updated | Mar 10th, 2023 - about last year |
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 | 1225300494 | NPPES |
| Georgia | Other | 080289 | MEDICAL LICENSE |
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