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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