Individual
BOBBY LEE DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
117 KITE RD, SWAINSBORO, GA 30401-3231
(478) 289-1368
(478) 289-1300
Mailing address
PO BOX 879, SWAINSBORO, GA 30401-0879
(478) 289-1368
(478) 289-1300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
019510
GA
208600000X
Surgery Physician
019510
GA
Other
Enumeration date
10/19/2006
Last updated
09/11/2025
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