Healthcare Provider Details

I. General information

NPI: 1386682011
Provider Name (Legal Business Name): DUNCAN FRANKLIN GUEDON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 04/08/2020
Certification Date: 04/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 SERGEANT PRENTISS DR SUITE 301
NATCHEZ MS
39120-4725
US

IV. Provider business mailing address

46 SERGEANT PRENTISS DR SUITE 301
NATCHEZ MS
39120-4725
US

V. Phone/Fax

Practice location:
  • Phone: 601-442-4488
  • Fax: 601-445-2247
Mailing address:
  • Phone: 601-442-4488
  • Fax: 601-445-2247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD202917
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number13175
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: