Dr. Molly A Tatum
Sports Medicine Orthopaedic Surgeon
3205 Woodman Dr
Dayton
, Ohio 45420-1143
Dr. Molly A Tatum
Sports Medicine Orthopaedic Surgeon
3205 Woodman Dr
Dayton
, Ohio 45420-1143
(937) 298-8260
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Molly A Tatum
- 3205 Woodman Dr
- Dayton, OH
- Zip : 45420-1143
- Fax : (937) 298-8260
- Phone : (937) 298-4417
Second Address
- Dr. Molly A Tatum
- 3205 Woodman Dr
- Dayton, OH
- Zip : 45420-1143
- Fax : (937) 298-8260
- Phone : (937) 298-4417
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 34.012776 | OH |
National Provider Identifier
| NPI | 1043597404 |
|---|---|
| Provider Name | Dr. Molly A Tatum |
| First Address | Dayton, OH 45420-1143 |
| Second Address | Dayton, OH 45420-1143 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/11/2011 |
| Last Update Date | 21/09/2017 |
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.