MR. Derek John Tatum

NPI #1013488246 in Midlothian, Virginia

Provider Information

NPI Number: 1013488246
Entity Type: Individual
Name: MR. Derek John Tatum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Dec 16, 2018
Last Updated: Mar 30, 2022

Practice Location

Address: 11020 HULL STREET RD
City: Midlothian
State: Virginia
ZIP Code: 23112-3200
Phone: (804) 744-6310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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