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Contact Information

DAVID R DERR, MD
807 STEELS POINTE
MADISON, MS39110
 Phone: 601-331-5934
 Fax: 601-815-1854
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for DAVID R DERR · (Male)

NPI Number 1487683991
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 18738
  • TN License # 44204
  • MS Medicaid 01536317
  • MS Other 512G700003 MS MEDCIARE - GROUP
  • MS Other P00261751 RAILROAD MEDICARE
Hospital affiliation(s)
  • CUMBERLAND MEDICAL CENTER - (Acute Care)
    421 S MAIN ST
    CROSSVILLE, TN 38555
  • METHODIST MEDICAL CENTER OF OAK RIDGE - (Acute Care)
    990 OAK RIDGE TURNPIKE BOX 529
    OAK RIDGE, TN 37830
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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