Provider Demographics
NPI:1528033081
Name:DUFFY, AIMEE CHRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:CHRISTINA
Last Name:DUFFY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 TIGER BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:CLEMSON
Mailing Address - State:SC
Mailing Address - Zip Code:29631-1497
Mailing Address - Country:US
Mailing Address - Phone:864-722-9262
Mailing Address - Fax:864-722-9261
Practice Address - Street 1:1011 TIGER BLVD STE 300
Practice Address - Street 2:
Practice Address - City:CLEMSON
Practice Address - State:SC
Practice Address - Zip Code:29631-1497
Practice Address - Country:US
Practice Address - Phone:864-722-9262
Practice Address - Fax:864-722-9261
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC24716207Q00000X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC24716OtherMEDICAL LICENSE NUMBER
SC24716OtherMEDICAL LICENSE NUMBER