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Organization
TINY DUCKY, LLC
Active
Organization
TINY DUCKY, LLC
Active
Other names
Black Tie Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAS DUARTE DO (PHYSICIAN)
(770) 559-3186
Entity
Organization
Contact information
Practice address
2820 LASSITER RD STE 100, BLDG B, MARIETTA, GA 30062-8332
(770) 559-3186
Mailing address
2820 LASSITER RD STE 100, BLDG B, MARIETTA, GA 30062-8332
(770) 559-3186
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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