Dr. David Newell Duddleston
Internist Emergency Physician
128 Chadwyck Pl
Madison
, Mississippi 39110-6508
Dr. David Newell Duddleston
Internist Emergency Physician
128 Chadwyck Pl
Madison
, Mississippi 39110-6508
(601) 321-2682
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About
Features
Specialties
- Emergency Physician
- Internist
Languages spoken
- English
Location
First Address
- Dr. David Newell Duddleston
- 128 Chadwyck Pl
- Madison, MS
- Zip : 39110-6508
- Fax : (601) 321-2682
- Phone : (601) 291-1993
Second Address
- Dr. David Newell Duddleston
- 128 Chadwyck Pl
- Madison, MS
- Zip : 39110-6508
- Fax : (601) 321-2682
- Phone : (601) 291-1993
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 10654 | MS |
| Y | 207R00000X | Internist | 10654 | MS |
| Y | 111NI0900X | Internist | 10654 | MS |
National Provider Identifier
| NPI | 1003840539 |
|---|---|
| Provider Name | Dr. David Newell Duddleston |
| First Address | Madison, MS 39110-6508 |
| Second Address | Madison, MS 39110-6508 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 11/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00015358 | (05) | MS |
| B30904 | (02) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.