Healthcare Provider Details

I. General information

NPI: 1922531334
Provider Name (Legal Business Name): CYNTHIA DUCK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 07/08/2024
Certification Date: 07/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 HIGHWAY 280 S STE 300
MOUNTAIN BRK AL
35223-2445
US

IV. Provider business mailing address

2700 HIGHWAY 280 S STE 300
MOUNTAIN BRK AL
35223-2445
US

V. Phone/Fax

Practice location:
  • Phone: 205-930-9595
  • Fax:
Mailing address:
  • Phone: 205-930-9595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number48339
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: