Provider Demographics
NPI:1689609877
Name:DUKE, MICHAEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:DUKE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:540 W THOMAS ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-2743
Mailing Address - Country:US
Mailing Address - Phone:478-288-5577
Mailing Address - Fax:478-387-9281
Practice Address - Street 1:540 W THOMAS ST
Practice Address - Street 2:SUITE B
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-2743
Practice Address - Country:US
Practice Address - Phone:478-288-5577
Practice Address - Fax:478-387-9281
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2017-01-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA042041207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine