MRS. Derrick Leigh Easom

NPI #1487138251 in Valdosta, Georgia

Provider Information

NPI Number
1487138251
Entity Type
Individual
Name
MRS. Derrick Leigh Easom
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Sep 18, 2018
Last Updated
Feb 5, 2025

Practice Location

Address
2810 N OAK ST
State
Georgia
ZIP Code
31602-1716
Phone
(229) 938-6495

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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