Individual
DERICK MORDUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 S GATEWAY BLVD, CLARKSVILLE, TN 37043-8118
(931) 552-4340
(931) 552-0999
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(615) 329-2294
(615) 695-1494
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
1346
NE
208100000X
Physical Medicine & Rehabilitation Physician
Primary
6367
TN
Other
Enumeration date
02/28/2014
Last updated
07/08/2025
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