Individual
DERRICK DREW TRUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-7000
Mailing address
107 MONARCH BLVD, HATTIESBURG, MS 39402-7203
(304) 575-1268
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MS26109
MS
207P00000X
Emergency Medicine Physician
Primary
T-3227
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2016
Last updated
03/30/2025
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