Individual
DEREK AUSTIN DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
300 TOWER RD NE, SUITE 200, MARIETTA, GA 30060-9404
(770) 427-5717
(770) 514-5040
Mailing address
300 TOWER RD NE, SUITE 200, MARIETTA, GA 30060-9404
(770) 427-5717
(770) 514-5040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN217341
GA
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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