Individual
SANFORD G DUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 HEMLOCK ST, MACON, GA 31201-3202
(478) 743-8953
(478) 743-1963
Mailing address
540 HEMLOCK ST, MACON, GA 31201-3202
(478) 743-8953
(478) 743-1963
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
49885
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00904307A
—
GA
01
—
6372095-002
CIGNA
GA
01
—
821361
B/C B/S
GA
Enumeration date
06/12/2006
Last updated
06/18/2008
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