Provider Demographics
NPI:1467241505
Name:DUNCAN, TIMOTHY J (MS, MPA)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:J
Last Name:DUNCAN
Suffix:
Gender:
Credentials:MS, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 SAWGRASS PL
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-8463
Mailing Address - Country:US
Mailing Address - Phone:864-980-4808
Mailing Address - Fax:
Practice Address - Street 1:110 SAWGRASS PL
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29649-8463
Practice Address - Country:US
Practice Address - Phone:864-980-4808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC10206101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional