JOHN BURTON DERRICK

ACCORDIA HEALTHCARE LLC

Dr JOHN BURTON DERRICK is a male medical professional, specializing in Physician Assistant. He graduated in 1975 from Medical University Of South Carolina College Of Medicine.

Contact

ACCORDIA HEALTHCARE LLC

3193 E 1ST ST
VIDALIA
GA
304748830

Tel: 9125378588

JOHN BURTON DERRICK Information

Npi 1932253606
Pac Id 5597734129
Professional Enrollment Id I20110113000620
Last Name DERRICK
First Name JOHN
Middle Name BURTON
Suffix
Gender M
Credential
Medical School Name MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year 1975
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ACCORDIA HEALTHCARE LLC
Group Practice Pac Id 1153544945
Number Of Group Practice Members 18
Line 1 Street Address 3193 E 1ST ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VIDALIA
State GA
Zip Code 304748830
Phone Number 9125378588
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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