Individual
DAVID N DERUYTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3193 HOWELL MILL RD NW, SUITE 322, ATLANTA, GA 30327
(404) 352-3683
(404) 351-8144
Mailing address
3193 HOWELL MILL RD NW, SUITE 322, ATLANTA, GA 30327
(404) 352-3683
(404) 351-8144
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
035239
GA
207RP1001X
Pulmonary Disease Physician
0035239
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00506316A
—
GA
Enumeration date
03/07/2006
Last updated
12/02/2015
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