MEDICARE: CLAUDETTE DUFFUS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	376K00000X	Nurse's Aide	GA
2	3747A0650X	Attendant Care Provider	GA
3	374U00000X	Home Health Aide	GA

General Provider Information

NPI Number	:	1548092224
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDETTE DUFFUS

Provider Business Mailing Address
First Line	:	3296 HIGHPOINT CT
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-7401
Country	:	US
Telephone Number	:	478-988-0937
Fax Number	:	585-502-1157

Provider Business Practice Location Address
First Line	:	2992 W MAIN ST
Second Line	:
City	:	SNELLVILLE
State	:	GA
Zip	:	30078-5764
Country	:	US
Telephone Number	:	478-988-0937
Fax Number	:	585-502-1157

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

Provider Enumeration Date	:	08/20/2024
Last Update Date	:	08/20/2024

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Directions to “ CLAUDETTE DUFFUS ” Practice Location

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