Individual
DERRICK WILLIAM RAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, AGACNP
Contact information
Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 891-9021
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 502-9782
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN209392
GA
363LA2100X
Acute Care Nurse Practitioner
RN209392
GA
363LF0000X
Family Nurse Practitioner
RN209392
GA
Other
Enumeration date
11/08/2016
Last updated
09/04/2025
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