Individual
DR. JEREMIAS RAFAEL DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9040 ROSWELL RD STE 500, ATLANTA, GA 30350-1863
(404) 490-3391
Mailing address
2013 ALDBURY LN, WOODSTOCK, GA 30189-6689
(706) 536-9061
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
86498
GA
208D00000X
General Practice Physician
Primary
86498
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
02/28/2023
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