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1558696484
DERRELL L NESMITH
KENNESAW, GA
NPI
1558696484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2009-10-09
Last Update Date
2009-10-09
Business Address
-- DERRELL L NESMITH CSA
3091 COBB PKWY NW
KENNESAW, GA 30152-5891
Phone number: 404-932-0637
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Mailing Address
-- DERRELL L NESMITH CSA
3091 COBB PKWY NW
KENNESAW, GA 30152-5891
Phone number: 404-932-0637
Copy
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