Pau, Derrick C

Pau, Derrick C is an individual health care provider with primary practice located at 3225 Cumberland Blvd Se Suite 900, Atlanta GA 30339-6407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Glaucoma Specialist is his primary health care specialty. Pau, Derrick C can be contacted via phone (404) 351-2220.

Contact Information

Primary practice address
3225 Cumberland Blvd Se Suite 900 Atlanta GA 30339-6407
Phone: (404) 351-2220
Fax: (404) 352-5392
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 076620 Georgia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 076620 Georgia

Profile Details

NPI number 1447404447
LBN Legal business name Pau, Derrick C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2008
Last updated Mar 5th, 2019 - about 6 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 1447404447 NPPES
Georgia Other 202I189735 MEDICARE PTAN
Georgia MEDICAID 00312691B MEDICARE PTAN

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