| Duddleston Management, Llc | |
|
1116 Forest Ave Jackson MS 39206-3216 | |
| (601) 291-1993 | |
| Not Available |
| Full Name | Duddleston Management, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1116 Forest Ave, Jackson, Mississippi |
| Authorized Official Name and Position | David Duddleston (OWNER) |
| Authorized Official Contact | 6012911993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duddleston Management, Llc Po Box 9178 Russellville AR 72811-9178 Ph: (479) 498-6700 | Duddleston Management, Llc 1116 Forest Ave Jackson MS 39206-3216 Ph: (601) 291-1993 |
| NPI Number | 1154876290 |
|---|---|
| Provider Enumeration Date | 08/18/2016 |
| Last Update Date | 08/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154876290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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