Individual
MR. DEREK SCOTT SHEATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 ALSBROOKS DR, HARTSELLE, AL 35640-5732
(256) 642-3843
(256) 686-0363
Mailing address
PO BOX 116, DECATUR, AL 35602-0116
(256) 642-3843
(256) 686-0363
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
AL
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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