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Individual

DR. BLAKELEY R DERRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
127 WC BRYANT PKWY, STE A, CALHOUN, GA 30701-2654
(706) 629-4999
(706) 629-4799
Mailing address
127 WC BRYANT PKWY, STE A, CALHOUN, GA 30701-2654
(706) 629-4999
(706) 629-4799

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007201
GA

Other

Enumeration date
12/06/2006
Last updated
04/01/2011
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