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Organization
DAVID M. HEADLEY, M.D. PA
Active
Organization
DAVID M. HEADLEY, M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEZELLE L HEADLEY (OFFICE MANAGER)
(601) 437-3323
Entity
Organization
Contact information
Practice address
405 MARKET ST, PORT GIBSON, MS 39150-2024
(601) 437-3323
(601) 437-8499
Mailing address
PO BOX 676, PORT GIBSON, MS 39150-0676
(601) 437-3323
(601) 437-8499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09133
MS
Other
Enumeration date
12/21/2006
Last updated
10/15/2008
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