Provider Demographics
NPI:1689693079
Name:DUKES, RICHARD G (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:G
Last Name:DUKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:11705 JONES BRIDGE RD
Mailing Address - Street 2:SUITE A201
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30005-5078
Mailing Address - Country:US
Mailing Address - Phone:770-772-1830
Mailing Address - Fax:770-772-7238
Practice Address - Street 1:11705 JONES BRIDGE RD
Practice Address - Street 2:SUITE A201
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30005-5078
Practice Address - Country:US
Practice Address - Phone:770-772-1830
Practice Address - Fax:770-772-7238
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2013-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA51875207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services