DEREK JOHN SURANIE

DAHLONEGA, GA
NPI1992769467
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT000606)
Enumeration Date2006-04-13
Last Update Date2007-07-08
Business Address
-- DEREK JOHN SURANIE MEd.,ATC
130 GEORGIA CIRCLE
DAHLONEGA, GA 30597-0001
Phone number: 706-867-2770
Mailing Address
-- DEREK JOHN SURANIE MEd.,ATC
1775 ADMIRALS POINTE
CUMMING, GA 30041-8667
Phone number: 678-947-1282