MEDICARE: F & F DUNCAN INC.

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	106H00000X	Marriage & Family Therapist	MFT #30000284	GA
2	163WP0808X	Psychiatric/Mental Health Registered Nurse	R050206	GA

General Provider Information

NPI Number	:	1366655136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	F & F DUNCAN INC.

Provider Business Mailing Address
First Line	:	5775 PEACHTREE DUNWOODY RD NE
Second Line	:	SUITE C-200
City	:	ATLANTA
State	:	GA
Zip	:	30342-1556
Country	:	US
Telephone Number	:	404-256-2794
Fax Number	:	404-256-2795

Provider Business Practice Location Address
First Line	:	5775 PEACHTREE DUNWOODY RD NE
Second Line	:	SUITE C-200
City	:	ATLANTA
State	:	GA
Zip	:	30342-1556
Country	:	US
Telephone Number	:	404-256-2794
Fax Number	:	404-256-2795

Authorized Official
Title or Position	:	CO-OWNER
Name	:	FRANCES LEE DUNCAN
Credential	:	RN, CNS
Telephone Number	:	404-256-2794

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	02/14/2008

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