MR. Leonard Davey Deramus, P.A.-C

NPI #1073598645 in Athens, Georgia

Provider Information

NPI Number: 1073598645
Entity Type: Individual
Name: MR. Leonard Davey Deramus, P.A.-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.-C
Enumeration Date: Dec 7, 2005
Last Updated: Jan 16, 2013

Practice Location

Address: 55 CARLTON ST
City: Athens
State: Georgia
ZIP Code: 30602-1503
Phone: (706) 542-8609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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