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Individual

DR. ELBERT ALAN DUNCAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
990 SOUTH MADISON STREET, TUPELO, MS 38801-6308
(662) 620-7101
(662) 842-1457
Mailing address
2000A SOUTHBRIDGE PKWY, STE 300, BIRMINGHAM, AL 35209-7718
(205) 871-4274
(205) 871-4301

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
11616
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00017748
MS
05
009700300
AL
05
144351
AL
05
144391
AL
05
144586
AL
05
166717
AL
01
300001093
MEDICARE
01
300125168
RAILROAD MEDICARE
MS
01
511-30486
BLUE CROSS
AL
01
511-30494
BLUE CROSS
AL
01
511-30495
BLUE CROSS
AL
01
511-55489
BLUE CROSS
AL
Enumeration date
06/12/2006
Last updated
12/30/2015
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