Provider Demographics
NPI:1447418579
Name:DUNCAN, TODD HARRISON
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:HARRISON
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7946
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-0946
Mailing Address - Country:US
Mailing Address - Phone:252-443-4024
Mailing Address - Fax:252-443-5021
Practice Address - Street 1:131 ROUNDABOUT CT
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-0946
Practice Address - Country:US
Practice Address - Phone:252-443-4024
Practice Address - Fax:252-443-5021
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC578202085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5909912Medicaid
FD0888846OtherDEA
2022490Medicare PIN