Individual
DR. SUSAN DOTSON DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202
(601) 664-1300
(601) 974-6241
Mailing address
P O BOX 2153 DEPT 1947, BIRMINGHAM, AL 35287-0001
(601) 292-4562
(601) 974-6237
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24511
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07733218
—
MS
05
—
2156578
—
LA
Enumeration date
04/23/2008
Last updated
07/27/2018
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