David N Duddleston (NPI# 1003840539, PAC ID# 0143228775) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1003840539 |
| PAC ID by PECOS | 0143228775 |
| Professional Enrollment ID | I20061115000247 |
| Full Name | David N Duddleston |
| Address |
1116 Forest Ave Jackson MS 39206-3216 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250034 | BAPTIST MEMORIAL HOSPITAL NORTH MS |
| 250168 | UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA |
| Address | Phone | Organization |
|---|---|---|
| 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 6622567111 | COMPREHENSIVE HOSPITALISTS OF MS, LLC |
| 1116 Forest Ave, Jackson, MS 39206-3216 | ||
| 1100 Belk Blvd, Oxford, MS 38655-5242 | 6622328100 | COMPREHENSIVE HOSPITALISTS OF MS, LLC |
| Street Address |
1116 FOREST AVE |
| City | JACKSON |
| State | MS |
| Zip | 39206-3216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheryll Angela Vincent | Pediatric Medicine | 5440 Watkins Dr, Jackson, MS 39206-2034 | |
| Jacinta Tokeya Stegall | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 405 Briarwood Dr, 103g, Jackson, MS 39206-3029 |
| Lakeisha Crye Green | Nurse Practitioner | 5411 I 55, Jackson, MS 39206-3616 | |
| Ashley Lynne Bullock | Occupational Therapy | Inmotion Rehab, LLC | 5411 I 55, Jackson, MS 39206-3616 |
| Tammy English | Physical Therapy | Inmotion Rehab, LLC | 5411 I 55, Jackson, MS 39206-3616 |
| Brynn Corbello | Occupational Therapy | Inmotion Rehab, LLC | 5411 I 55, Jackson, MS 39206-3616 |
| Margaret Elizabeth Shrader | Physical Therapy | Inmotion Rehab, LLC | 5411 I 55, Jackson, MS 39206-3616 |
| Mikki Leigh Daniel | Physical Therapy | Inmotion Rehab, LLC | 5411 I 55, Jackson, MS 39206-3616 |
| Annyce Campbell | Family Medicine | 4510 Hanging Moss Rd, Jackson, MS 39206-3962 | |
| Nkeba Imani Bell | Nurse Practitioner | 4510 Hanging Moss Rd, Jackson, MS 39206-3962 | |
| Find all physicians in zip 39206 | |||
| City | JACKSON |
| Zip Code | 39206 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | JACKSON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on David N Duddleston.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.