| Doctor Name: | BRENDA CHERYL DUKAS |
| NPI Number: | 1134342660 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | F.N.P. |
| License Number: | 71002373A |
| Business Practice Address: | 1008 N 3rd Ave Chatsworth, GA - 307052118 |
| Business Phone Number: | 7065172273 |
| Business Fax Number: | 7065172469 |
| Mailing Address: | Po Box 540, MORGANTON |
| State: | GA |
| Postal Code: | 305600540 |
| Phone Number: | 7063746898 |
| Fax Number: | 7063747628 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 06/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 71002373A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |