Individual
MR. JONATHAN DAVID DERRYBERRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
(404) 727-5910
Mailing address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
04/08/2021
Last updated
12/15/2022
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