DERRICK DREW TRUMP

HATTIESBURG, MS
NPI1396108007
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MS  t-3227)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: MS  MS26109)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-03-30
Last Update Date2025-03-30
Business Address
DERRICK DREW TRUMP D.O.
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401-7200
Phone number: 601-288-7000
Mailing Address
DERRICK DREW TRUMP D.O.
107 MONARCH BLVD
HATTIESBURG, MS 39402-7203
Phone number: 304-575-1268