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Individual

SAVANNAH DUCKWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2500 NORTH STATE STREET, UMMC DEPARTMENT OF INTERNAL MEDICINE, JACKSON, MS 39216
(601) 984-5770
(601) 983-5773
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5770
(601) 984-5773

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24221
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06633737
MS
Enumeration date
06/10/2014
Last updated
12/31/2019
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