F5 SURGICAL - DERRICK CLARK LLC - NPI 1508383829

Q: What is F5 Surgical - Derrick Clark LLC's NPI number?

The NPI number for F5 Surgical - Derrick Clark LLC is 1508383829. It was assigned to this organization in the NPPES registry on August 28, 2017.

Q: What is F5 Surgical - Derrick Clark LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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About F5 Surgical - Derrick Clark Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

F5 SURGICAL - DERRICK CLARK LLC (NPI 1508383829) is a healthcare organization registered as a surgery in Norcross, Georgia and active in the NPI registry since August 2017. The organization maintains a secondary practice location in Norcross and lists David Hayes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508383829

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameF5 SURGICAL - DERRICK CLARK LLC

Location Address5425 PEACHTREE PKWYNorcross, GA 30092-6536

Mailing AddressPo Box 744365Atlanta, GA 30374-4365 · (770) 676-7398 · Fax (404) 855-4243

Phone(770) 676-7398

Fax(404) 855-4243

Organization SubpartNo

Authorized OfficialDavid HayesCeo · (770) 676-7398

Enumeration DateAugust 28, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1508383829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in GA · 62046

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

5425 PEACHTREE PKWY, Norcross, GA 30092

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Secondary Practice Location 1

Location 15425 Peachtree PkwyNorcross, GA 30092-6536 · Phone (770) 676-7398 · Fax (770) 667-7660

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

F5 SURGICAL - TRICOUNTY SURGICAL LLC

Surgery