DR. Henry Clark Deriso, M.D.

NPI #1770682403 in Savannah, Georgia

Provider Information

NPI Number
1770682403
Entity Type
Individual
Name
DR. Henry Clark Deriso, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
M.D.
Enumeration Date
Sep 21, 2006
Last Updated
Dec 6, 2007

Practice Location

Address
38 MEDICAL ARTS CTR
State
Georgia
ZIP Code
31405-4415
Phone
(912) 692-0755

Specialties & Taxonomy Codes

Specialty
Specialist

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