DERRICK LEIGH EASOM

VALDOSTA, GA
NPI1487138251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN248094)
Enumeration Date2018-09-18
Last Update Date2025-02-05
Business Address
Mrs. DERRICK LEIGH EASOM
2810 N OAK ST
VALDOSTA, GA 31602-1716
Phone number: 229-938-6495
Mailing Address
Mrs. DERRICK LEIGH EASOM
2810 N OAK ST
VALDOSTA, GA 31602-1716
Phone number: 229-938-6495
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