Individual
DERIUS MCCOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 HOWARD AVE NW, CARTERSVILLE, GA 30121-4632
(470) 514-0641
Mailing address
113 HOWARD AVE NW, CARTERSVILLE, GA 30121-4632
(470) 514-0641
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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