Individual
DR. DEREK ARTHUR KLEMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., PHARM.D.
Contact information
Practice address
396 HISTORIC HIGHWAY 441 N, DEMOREST, GA 30535
(706) 754-4348
(706) 754-0731
Mailing address
PO BOX 459, COLBERT, GA 30628-0459
(706) 788-3234
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS47555
FL
207Q00000X
Family Medicine Physician
080289
GA
207Q00000X
Family Medicine Physician
OS14186
FL
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
080289
GA
208D00000X
General Practice Physician
UO4670
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080289
MEDICAL LICENSE
GA
Enumeration date
02/03/2012
Last updated
03/10/2023
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