Provider Demographics
NPI:1912238023
Name:DUNCAN, SIBYL MONIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:SIBYL
Middle Name:MONIQUE
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 HILLANDALE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-4860
Mailing Address - Country:US
Mailing Address - Phone:678-418-2120
Mailing Address - Fax:
Practice Address - Street 1:6000 HILLANDALE DR STE 100
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058
Practice Address - Country:US
Practice Address - Phone:678-418-1964
Practice Address - Fax:404-592-2042
Is Sole Proprietor?:No
Enumeration Date:2010-01-29
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA79439207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine