Individual
MR. DERRICK SAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT CES PN1
Contact information
Practice address
4775 LONGCOURT DR SE, ATLANTA, GA 30339-1697
(678) 907-0063
Mailing address
4775 LONGCOURT DR SE, ATLANTA, GA 30339-1697
(678) 907-0063
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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