Provider Demographics
NPI:1154584563
Name:FRANKLIN J. DUFFEY, JR, MD
Entity type:Organization
Organization Name:FRANKLIN J. DUFFEY, JR, MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:DUFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-491-3300
Mailing Address - Street 1:309 PIRKLE FERRY ROAD
Mailing Address - Street 2:SUITE A200
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040
Mailing Address - Country:US
Mailing Address - Phone:678-647-0002
Mailing Address - Fax:678-947-4402
Practice Address - Street 1:309 PIRKLE FERRY RD
Practice Address - Street 2:SUITE A200
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2545
Practice Address - Country:US
Practice Address - Phone:678-647-0002
Practice Address - Fax:678-947-4402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0168562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA26BDFLMMedicare PIN
GAC33095Medicare UPIN