West, Derek A

West, Derek A is an individual health care provider with primary practice located at 500 Windsor Way , Fairburn GA 30213-6446. He recently has 9 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Related Providers / Adult Companion, Nursing Service Providers / Administrator, Nursing Service Providers / Home Health, Nursing Service Providers / Pediatrics, Nursing Service Providers / Wound Care, Other Service Providers / Driver, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide. Nursing Service Related Providers / Nurse's Aide is his primary health care specialty. West, Derek A can be contacted via phone (404) 786-8598.

Contact Information

Primary practice address
500 Windsor Way Fairburn GA 30213-6446
Phone: (404) 786-8598
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X PHCP011562 Georgia
Nursing Service Related Providers / Adult Companion 372600000X PHCP011562 Georgia
Nursing Service Providers / Administrator 163WA2000X PHCP011562 Georgia
Nursing Service Providers / Home Health 163WH0200X PHCP011562 Georgia
Nursing Service Providers / Pediatrics 163WP0200X PHCP011562 Georgia
Nursing Service Providers / Wound Care 163WW0000X PHCP011562 Georgia
Other Service Providers / Driver 172A00000X PHCP011562 Georgia
Nursing Service Related Providers / Home Health Aide 374U00000X PHCP011562 Georgia
Nursing Service Related Providers / Nurse's Aide 376K00000X PHCP011562 Georgia

Profile Details

NPI number 1821734856
LBN Legal business name West, Derek A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2022
Last updated May 11th, 2022 - about 2 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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