DERRELL L NESMITH

KENNESAW, GA
NPI1558696484
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2009-10-09
Last Update Date2009-10-09
Business Address
-- DERRELL L NESMITH CSA
3091 COBB PKWY NW
KENNESAW, GA 30152-5891
Phone number: 404-932-0637
Mailing Address
-- DERRELL L NESMITH CSA
3091 COBB PKWY NW
KENNESAW, GA 30152-5891
Phone number: 404-932-0637