Dr. Blakeley R Derrick, DC
Chiropractor in Calhoun, GA. Individual provider (NPI-1).
NPI number1750440053
StatusActive
Last updated in NPPESApr 1, 2011
Details
- NPI
- 1750440053
- Entity type
- Individual (NPI-1)
- Name
- Dr. Blakeley R Derrick
- Credential
- DC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2006
- Last updated
- Apr 1, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CHIR007201 | GA | Yes |
Practice location
127 Wc Bryant PkwySte A
Calhoun, GA 30701-2654
Phone 706-629-4999 · Fax 706-629-4799
Mailing address
127 Wc Bryant PkwySte A
Calhoun, GA 30701-2654
Phone 706-629-4999 · Fax 706-629-4799
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