Provider Demographics
NPI:1669810834
Name:DUKES, RHONDA RENEE (RN)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:RENEE
Last Name:DUKES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 POWELL MILL RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-1548
Mailing Address - Country:US
Mailing Address - Phone:864-576-2085
Mailing Address - Fax:864-576-3180
Practice Address - Street 1:495 POWELL MILL RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-1548
Practice Address - Country:US
Practice Address - Phone:864-576-2085
Practice Address - Fax:864-576-3180
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC57266163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse