# SPRINGRIDGE MEDICAL CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689217978
- **Authorized official:** DR. SHINITA REED DUDLEY MD (DR.)
- **Authorized official phone:** (601) 213-7681

## Contact information

- **Practice address:** 507 SPRINGRIDGE RD STE A, CLINTON, MS 39056-5628
- **Practice address phone:** (601) 708-1414
- **Practice address fax:** (601) 708-1415
- **Mailing address:** 507 SPRINGRIDGE RD STE A, CLINTON, MS 39056-5628
- **Mailing address phone:** (601) 708-1414
- **Mailing address fax:** (601) 708-1415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2019
- **Last updated:** 10/25/2022