Individual
DR. DARRYLL BARKSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5000
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MS11667
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016421
—
MS
05
—
009928045
—
AL
01
—
646000515
TRICARE
—
01
—
930026895
RAILROAD MEDICARE
—
Enumeration date
03/28/2007
Last updated
11/11/2008
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