Lafont, Derek Aaron

Lafont, Derek Aaron is an individual health care provider with primary practice located at 3696 Wheeler Rd , Augusta GA 30909-6520. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lafont, Derek Aaron can be contacted via phone (706) 736-1830.

Contact Information

Primary practice address
3696 Wheeler Rd Augusta GA 30909-6520
Phone: (706) 736-1830
Fax: (706) 650-7553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 004721 Georgia

Profile Details

NPI number 1013980184
LBN Legal business name Lafont, Derek Aaron
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 21st, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013980184 NPPES
Georgia MEDICAID 639124321C
Georgia MEDICAID 639124321A
Georgia MEDICAID 639124321B

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