Derrick K Staten

NPI #1891540555 in Mableton, Georgia

Provider Information

NPI Number
1891540555
Entity Type
Individual
Name
Derrick K Staten
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
Apr 17, 2024
Last Updated
Apr 17, 2024

Practice Location

Address
518 MOUNT GERIZIM RD SE
State
Georgia
ZIP Code
30126-6410
Phone
(470) 654-2331

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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