Dr. Derrick R Hamilton
Pediatrician Pediatric Emergency Physician
214 Lakeview Rd Suite 2
Somerville
, Tennessee 38068-9737
Dr. Derrick R Hamilton
Pediatrician Pediatric Emergency Physician
214 Lakeview Rd Suite 2
Somerville
, Tennessee 38068-9737
(901) 516-4092
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Derrick R Hamilton
- 214 Lakeview Rd Suite 2
- Somerville, TN
- Zip : 38068-9737
- Fax : (901) 516-4092
- Phone : (901) 516-4082
Second Address
- Dr. Derrick R Hamilton
- 214 Lakeview Rd Suite 2
- Somerville, TN
- Zip : 38068-9737
- Fax : (901) 516-4092
- Phone : (901) 516-4082
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207PP0204X | Pediatric Emergency Physician | 38455 | TN |
| Y | 208000000X | Pediatrician | 38455 | TN |
National Provider Identifier
| NPI | 1730189945 |
|---|---|
| Provider Name | Dr. Derrick R Hamilton |
| First Address | Somerville, TN 38068-9737 |
| Second Address | Somerville, TN 38068-9737 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2005 |
| Last Update Date | 24/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5440910 | (05) | TN |
| I13271 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.