Individual
DERRICK GUINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1218 ROCKBRIDGE RD, STONE MOUNTAIN, GA 30087-3013
(470) 545-6228
Mailing address
5749 SABLE WAY, ATLANTA, GA 30349-8833
(770) 337-9973
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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