Provider Demographics
NPI:1548092224
Name:DUFFUS, CLAUDETTE
Entity type:Individual
Prefix:
First Name:CLAUDETTE
Middle Name:
Last Name:DUFFUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3296 HIGHPOINT CT
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-7401
Mailing Address - Country:US
Mailing Address - Phone:478-988-0937
Mailing Address - Fax:585-502-1157
Practice Address - Street 1:2992 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-5764
Practice Address - Country:US
Practice Address - Phone:478-988-0937
Practice Address - Fax:585-502-1157
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA376K00000X, 3747A0650X, 374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide