Individual
BRENDA CHERYL DUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
1008 N 3RD AVE, CHATSWORTH, GA 30705-2118
(706) 517-2273
(706) 517-2469
Mailing address
PO BOX 540, MORGANTON, GA 30560-0540
(706) 374-6898
(706) 374-7628
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002373A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200858370
—
IN
Enumeration date
04/11/2007
Last updated
06/19/2009
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