Provider Demographics
NPI:1366547903
Name:DUENO, FRANCISCO ANTONIO (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:ANTONIO
Last Name:DUENO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1117
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-1117
Mailing Address - Country:US
Mailing Address - Phone:912-756-3404
Mailing Address - Fax:912-756-2156
Practice Address - Street 1:9390 FORD AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-6421
Practice Address - Country:US
Practice Address - Phone:912-756-3404
Practice Address - Fax:912-756-2156
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031238207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000384436AMedicaid
E92943Medicare UPIN
GA000384436AMedicaid