| Dudley Medical Services, Llc | |
|
1116 Forest Ave Jackson MS 39206-3216 | |
| (601) 213-7681 | |
| Not Available |
| Full Name | Dudley Medical Services, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1116 Forest Ave, Jackson, Mississippi |
| Authorized Official Name and Position | Shinita Dudley (OWNER) |
| Authorized Official Contact | 6012137681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dudley Medical Services, Llc 1116 Forest Ave Jackson MS 39206-3216 Ph: () - | Dudley Medical Services, Llc 1116 Forest Ave Jackson MS 39206-3216 Ph: (601) 213-7681 |
| NPI Number | 1760934707 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 10/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760934707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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