Individual
DR. DAVID NEWELL DUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 CHADWYCK PL, MADISON, MS 39110-6508
(601) 291-1993
(601) 321-2682
Mailing address
128 CHADWYCK PL, MADISON, MS 39110-6508
(601) 291-1993
(601) 321-2682
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
10654
MS
207R00000X
Internal Medicine Physician
Primary
10654
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015358
—
MS
Enumeration date
07/10/2006
Last updated
11/11/2019
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