Individual
MR. MITCHELL GLENN DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2504A GRANDVIEW DR NE, MILLEDGEVILLE, GA 31061-6879
(404) 579-3281
Mailing address
2504A GRANDVIEW DR NE, MILLEDGEVILLE, GA 31061-6879
(404) 579-3281
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT001477
GA
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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