Search › Georgia › 103TC0700X
Annie Derthick, PHD
NPI 1689039422 · on the registry since 2015
Practice
- Address
- 4255 Wade Green Rd Nw Ste 414
Kennesaw, GA 30144 - Phone
- (678) 213-2194
- Organisation at this address
- Amy Hamilton
Reside Well, Llc
Amedisys Georgia Llc
Amedisys Hospice Llc
Regency Hospice Of Georgia, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 37
Additional practice sites
- 1201 E 36th Ave, Anchorage, AK
- 76 High St, Lewiston, ME
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TF0000X
103T00000X - Licence states on file
- ME, AK, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia