Duddleston Management, LLC

NPI #1154876290 in Jackson, Mississippi

Provider Information

NPI Number: 1154876290
Entity Type: Organization
Organization Name: Duddleston Management, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 18, 2016
Last Updated: Aug 18, 2016

Practice Location

Address: 1116 FOREST AVE
City: Jackson
State: Mississippi
ZIP Code: 39206-3216
Phone: (601) 291-1993

Authorized Official

Name: DAVID DUDDLESTON, MD
Title: OWNER
Phone: (601) 291-1993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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