Individual
DERRELL L NESMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
3091 COBB PKWY NW, KENNESAW, GA 30152-5891
(404) 932-0637
Mailing address
3091 COBB PKWY NW, KENNESAW, GA 30152-5891
(404) 932-0637
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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