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NPI Code Detail

MEDICARE: DUDLEY S BURWELL JR. MD

MEDICARE:   DUDLEY S BURWELL JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician10049MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801895164
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUDLEY S BURWELL JR. MD
Provider Business Mailing Address
First Line : 2781 CT SWITZER SR DRIVE
Second Line : SUITE 402
City : BILOXI
State : MS
Zip : 39531-4535
Country : US
Telephone Number : 228-388-0949
Fax Number : 228-385-1595
Provider Business Practice Location Address
First Line : 2781 CT SWITZER SENIOR DRIVE
Second Line : SUITE 402
City : BILOXI
State : MS
Zip : 39531-4535
Country : US
Telephone Number : 228-388-0949
Fax Number : 228-385-1595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 01/16/2024

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Directions to “ DUDLEY S BURWELL JR. MD” Practice Location

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