Individual
DEREK STEPHEN DUEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(816) 863-6075
Mailing address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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