Provider Demographics
NPI:1467085100
Name:DUNCAN, MACAULEY JANE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MACAULEY
Middle Name:JANE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MACAULEY
Other - Middle Name:JANE
Other - Last Name:BOHANNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:128 DUVALL ST STE D
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:GA
Practice Address - Zip Code:30525-5475
Practice Address - Country:US
Practice Address - Phone:706-960-9410
Practice Address - Fax:706-960-9412
Is Sole Proprietor?:No
Enumeration Date:2020-02-21
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12709225100000X
GACP004887T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist