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Contact Information

MICHAEL I DERRICK, MD
1272 GARRISON DR
MURFREESBORO, TN37129-2598
 Phone: 615-893-4480
 Fax: 615-895-6212
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL I DERRICK · (Male)

NPI Number 1275828717
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2011
Last updated 07/25/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 04-40205
  • MO License # 2017023519
  • TN License # MD65969
Hospital affiliation(s) Not Available
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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