Individual
DR. ALAN A DERRICK-GRIFFITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2802 CLEARWATER TER SE, CONYERS, GA 30013-2484
(470) 595-3540
Mailing address
2802 CLEARWATER TER SE, CONYERS, GA 30013-2484
(470) 595-3540
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5375
AL
1223G0001X
General Practice Dentistry
Primary
DN013998
GA
Other
Enumeration date
07/07/2008
Last updated
09/07/2020
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