Individual
JENNIFER DUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
540 CHARTER BLVD STE 100, MACON, GA 31210-4881
(478) 471-0089
(478) 471-0708
Mailing address
540 CHARTER BLVD STE 100, MACON, GA 31210-4881
(478) 471-0089
(478) 471-0708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50615
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
655837134C
—
GA
Enumeration date
05/10/2006
Last updated
12/13/2022
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