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Organization

DUDLEY MEDICAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHINITA DUDLEY MD (OWNER)
(601) 213-7681
Entity
Organization

Contact information

Practice address
1116 FOREST AVE, JACKSON, MS 39206-3216
(601) 213-7681
Mailing address
1116 FOREST AVE, JACKSON, MS 39206-3216

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/25/2016
Last updated
10/25/2016
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