Individual
VANESSA LYNN DUNCOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3920 PROMENADE PKWY, SUITE A, DIBERVILLE, MS 39540-5368
(228) 456-0173
(228) 456-0174
Mailing address
147 REYNOIR ST, SUITE 203, BILOXI, MS 39530-4109
(228) 435-6505
(228) 436-1666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17641
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125820
—
MS
Enumeration date
07/02/2006
Last updated
06/12/2024
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