Organization
DUDDLESTON MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DUDDLESTON MD (OWNER)
(601) 291-1993
Entity
Organization
Contact information
Practice address
1116 FOREST AVE, JACKSON, MS 39206-3216
(601) 291-1993
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(479) 498-6700
(479) 968-4331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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