Duddleston, David Newell

Duddleston, David Newell is an individual health care provider with primary practice located at 128 Chadwyck Pl , Madison MS 39110-6508. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Duddleston, David Newell can be contacted via phone (601) 291-1993.

Contact Information

Primary practice address
128 Chadwyck Pl Madison MS 39110-6508
Phone: (601) 291-1993
Fax: (601) 321-2682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 10654 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10654 Mississippi

Profile Details

NPI number 1003840539
LBN Legal business name Duddleston, David Newell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Nov 11th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003840539 NPPES
Mississippi MEDICAID 00015358

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