Individual
DR. MICHAEL R DUCKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2225 5TH ST N, COLUMBUS, MS 39705-2211
(662) 327-0197
(662) 327-5660
Mailing address
2225 5TH ST N, COLUMBUS, MS 39705-2211
(662) 327-0197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
07299
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121379
—
MS
Enumeration date
03/08/2006
Last updated
10/17/2007
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