Individual
MR. CORNELIUS DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(205) 516-8489
Mailing address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(205) 516-8489
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59739
NCTRC
AL
Enumeration date
01/11/2021
Last updated
01/11/2021
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