Derek John Tatum

Physician Assistant · Midlothian, VA

Individual Active NPI

NPI number 1013488246

Practice location

11020 Hull Street Rd
Midlothian, VA 23112-3200
Phone
(804) 744-6310

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NPI record

NPI
1013488246
Entity type
Individual (Type 1)
Enumeration date
December 16, 2018
Last updated
March 30, 2022
Certified
March 30, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 0110006682 VA

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone
(804) 968-5700

About Derek Tatum

Derek John Tatum is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 11020 Hull Street Rd, Midlothian, VA 23112-3200. The NPI number 1013488246 was assigned on December 16, 2018 and the record was last updated on March 30, 2022.

Derek Tatum lists a license in the registry: #0110006682 (VA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derek John Tatum?

The NPI number is 1013488246.

What is the phone number of Derek Tatum?

The phone number listed for the practice location is (804) 744-6310.

Where is Derek Tatum located?

11020 Hull Street Rd, Midlothian, VA 23112-3200.

What is the taxonomy code for Derek Tatum?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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