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Individual

MS. PATRICIA DUNCAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004703
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125000263B
GA
Enumeration date
12/09/2009
Last updated
02/02/2012
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