Provider Demographics
NPI:1215094842
Name:ANDREW S. DUKES M.D. P.C.
Entity type:Organization
Organization Name:ANDREW S. DUKES M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUKES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:256-773-2952
Mailing Address - Street 1:310 PINE ST NW
Mailing Address - Street 2:SUITE B
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-2316
Mailing Address - Country:US
Mailing Address - Phone:256-773-2952
Mailing Address - Fax:256-751-0737
Practice Address - Street 1:310 PINE ST NW
Practice Address - Street 2:SUITE B
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-2316
Practice Address - Country:US
Practice Address - Phone:256-773-2952
Practice Address - Fax:256-751-0737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15217261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care