Provider Demographics
NPI:1083040802
Name:DUNCAN, WILLIAM JAMES IV (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JAMES
Last Name:DUNCAN
Suffix:IV
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 KING ST STE A
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-4440
Mailing Address - Country:US
Mailing Address - Phone:678-640-4606
Mailing Address - Fax:770-993-9518
Practice Address - Street 1:48 KING ST STE A
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-4440
Practice Address - Country:US
Practice Address - Phone:678-640-4606
Practice Address - Fax:770-993-9518
Is Sole Proprietor?:No
Enumeration Date:2013-09-25
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT011219225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist