Individual
DERICK MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
723 WASHINGTON ST NW, GAINESVILLE, GA 30501
(770) 531-0998
(678) 433-2059
Mailing address
723 WASHINGTON STREET NW, SUITE 2, GAINESVILLE, GA 30501
(770) 531-0998
(678) 433-2059
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN234155
GA
Other
Enumeration date
03/02/2017
Last updated
02/25/2021
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