DERRICK LEIGH EASOM

ROSWELL, GA
NPI1487138251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN248094)
Enumeration Date2018-09-18
Last Update Date2018-10-17
Business Address
Mrs. DERRICK LEIGH EASOM
1825 OLD ALABAMA RD
ROSWELL, GA 30076-2273
Phone number: 770-393-9000
Mailing Address
Mrs. DERRICK LEIGH EASOM
1825 OLD ALABAMA RD STE 201
ROSWELL, GA 30076-2258
Phone number: 229-938-6495
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