Provider Demographics
NPI:1205983293
Name:DUFFEY, FRANKLIN JEFFERSON JR (MD)
Entity type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:JEFFERSON
Last Name:DUFFEY
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 MOUNTAIN DR
Mailing Address - Street 2:CHESTATEE REGIONAL HOSPITAL -LIFE CYCLES DEPARTMENT
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-1606
Mailing Address - Country:US
Mailing Address - Phone:478-491-3300
Mailing Address - Fax:
Practice Address - Street 1:227 MOUNTAIN DR
Practice Address - Street 2:227 MOUNTAIN DRIVE
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-1606
Practice Address - Country:US
Practice Address - Phone:478-491-3300
Practice Address - Fax:678-455-9457
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0168562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA26BDFLMMedicare PIN
GAC33095Medicare UPIN