MEDICARE: DR. TAMEKA DUNCAN CPC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center	GA
2	246Y00000X	Health Information Specialist/Technologist	FL
3	101YP1600X	Pastoral Counselor
4	246Y00000X	Health Information Specialist/Technologist	GA
5	174H00000X	Health Educator	GA
6	101Y00000X	Counselor
7	171W00000X	Contractor	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	321648	OTHER	GA	DOCTORATE OF DIVINITY
2	831099232	OTHER	GA	BILLING COMPANY

General Provider Information

NPI Number	:	1649835265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAMEKA DUNCAN CPC

Provider Business Mailing Address
First Line	:	PO BOX 491232
Second Line	:
City	:	LAWRENCEVILLE
State	:	GA
Zip	:	30049-0021
Country	:	US
Telephone Number	:	770-904-9173
Fax Number	:

Provider Business Practice Location Address
First Line	:	655 VILLAGE SQUARE DR
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30083-3300
Country	:	US
Telephone Number	:	678-704-7553
Fax Number	:

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

Provider Enumeration Date	:	05/08/2019
Last Update Date	:	01/31/2026

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Directions to “ DR. TAMEKA DUNCAN CPC” Practice Location

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