1366655136 NPI number — F & F DUNCAN INC.

Table of content: (NPI 1366655136)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366655136 NPI number — F & F DUNCAN INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
F & F DUNCAN INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366655136
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/14/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5775 PEACHTREE DUNWOODY RD NE
Provider Second Line Business Mailing Address:
SUITE C-200
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30342-1556
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-256-2794
Provider Business Mailing Address Fax Number:
404-256-2795

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5775 PEACHTREE DUNWOODY RD NE
Provider Second Line Business Practice Location Address:
SUITE C-200
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30342-1556
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-256-2794
Provider Business Practice Location Address Fax Number:
404-256-2795
Provider Enumeration Date:
05/08/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DUNCAN
Authorized Official First Name:
FRANCES
Authorized Official Middle Name:
LEE
Authorized Official Title or Position:
CO-OWNER
Authorized Official Telephone Number:
404-256-2794

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  MFT #30000284 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 163WP0808X , with the licence number: R050206 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)