Bobby Lee Derrick, MD
Emergency Medicine in Swainsboro, GA. Individual provider (NPI-1).
NPI number1124100359
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1124100359
- Entity type
- Individual (NPI-1)
- Name
- Bobby Lee Derrick
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 019510 | GA | Yes |
| 208600000X | Surgery | 019510 | GA |
Practice location
117 Kite RdSwainsboro, GA 30401-3231
Phone 478-289-1368 · Fax 478-289-1300
Mailing address
Po Box 879Swainsboro, GA 30401-0879
Phone 478-289-1368 · Fax 478-289-1300
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All 9 Emergency Medicine Physician providers in Swainsboro · All 304 providers in Swainsboro
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