Individual
DR. VINCENT CRAIG DUNGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 12TH ST, SUITE 1D, MERIDIAN, MS 39301-4158
(601) 703-9541
(601) 703-9947
Mailing address
P.O. DRAWER 1769, MERIDIAN, MS 39302-1769
(601) 703-9506
(601) 703-3264
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12833
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112842
—
MS
05
—
009937735
—
AL
01
—
731-04039
BLUE CROSS OF AL
—
01
—
P00070814
RAILROAD MEDICARE
—
Enumeration date
11/22/2005
Last updated
11/06/2013
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