Organization Name: | ANDREW S. DUKES M.D. P.C. |
NPI Number: | 1215094842 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA L DUKES (RN) |
Mailing Address: | 310 Pine St Nw Suite B Hartselle |
State: | AL US |
Postal Code: | 356402316 |
Phone Number: | 2567732952 |
Fax Number: | 2567510737 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 15217 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |