Provider Demographics
NPI:1558807354
Name:DUNCAN, JESSICA BROOKS (DC)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:BROOKS
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 PHARR RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-3200
Mailing Address - Country:US
Mailing Address - Phone:404-386-9396
Mailing Address - Fax:
Practice Address - Street 1:405 PHARR RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305-3200
Practice Address - Country:US
Practice Address - Phone:404-231-1872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-17
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009820111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor