LEONARD DAVEY DERAMUS

ATHENS, GA
NPI1073598645
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  001541)
Enumeration Date2005-12-07
Last Update Date2013-01-16
Business Address
Mr. LEONARD DAVEY DERAMUS P.A.-C
55 CARLTON ST
ATHENS, GA 30602-1503
Phone number: 706-542-8609
Mailing Address
Mr. LEONARD DAVEY DERAMUS P.A.-C
55 CARLTON ST
ATHENS, GA 30602-1503
Phone number: 706-542-8609