Healthcare Provider Details

I. General information

NPI: 1043507932
Provider Name (Legal Business Name): KATHERINE FAYE DUNCAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2011
Last Update Date: 08/17/2023
Certification Date: 09/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 ALLEN COURT
NORTH AUGUSTA SC
29860
US

IV. Provider business mailing address

140 ALLEN COURT
NORTH AUGUSTA SC
29860
US

V. Phone/Fax

Practice location:
  • Phone: 803-510-0007
  • Fax: 803-510-0144
Mailing address:
  • Phone: 803-510-0007
  • Fax: 803-510-0144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number90593
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number81032
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: