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NPI Code Detail

MEDICARE: DR. DEREK LAMONT WEST MD, MS

MEDICARE:  DR. DEREK LAMONT WEST  MD, MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0204XVascular & Interventional Radiology Physician79141GA

General Provider Information

NPI Number : 1548273642
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEREK LAMONT WEST MD, MS
Provider Business Mailing Address
First Line : 513 OAKLAND AVE SE
Second Line :
City : ATLANTA
State : GA
Zip : 30312-3214
Country : US
Telephone Number : 773-960-1808
Fax Number : 404-759-2644
Provider Business Practice Location Address
First Line : 513 OAKLAND AVE SE
Second Line :
City : ATLANTA
State : GA
Zip : 30312-3214
Country : US
Telephone Number : 773-960-1808
Fax Number : 404-759-2644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 01/06/2026

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Directions to “ DR. DEREK LAMONT WEST MD, MS” Practice Location

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