Provider Demographics
NPI:1386682011
Name:GUEDON, DUNCAN FRANKLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:DUNCAN
Middle Name:FRANKLIN
Last Name:GUEDON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 SERGEANT PRENTISS DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-4725
Mailing Address - Country:US
Mailing Address - Phone:601-442-4488
Mailing Address - Fax:601-445-2247
Practice Address - Street 1:46 SERGEANT PRENTISS DR
Practice Address - Street 2:SUITE 301
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-4725
Practice Address - Country:US
Practice Address - Phone:601-442-4488
Practice Address - Fax:601-445-2247
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD202917207V00000X
MS13175207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1661830OtherLA MEDICAID
160000506Medicare ID - Type UnspecifiedMEDICARE
1661830OtherLA MEDICAID