MEDICARE: RENATA DUKES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	F04260251	AL

General Provider Information

NPI Number	:	1497696074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENATA DUKES

Provider Business Mailing Address
First Line	:	600 HALEY ANN DR SW
Second Line	:
City	:	HARTSELLE
State	:	AL
Zip	:	35640-3813
Country	:	US
Telephone Number	:	256-856-6106
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 HALEY ANN DR SW
Second Line	:
City	:	HARTSELLE
State	:	AL
Zip	:	35640-3813
Country	:	US
Telephone Number	:	256-856-6106
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/10/2026

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Directions to “ RENATA DUKES ” Practice Location

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