Tiny Ducky, LLC

General Practice Physician · Marietta, GA

Organization Active NPI

NPI number 1629888474

Practice location

2820 Lassiter Rd Ste 100
Bldg B
Marietta, GA 30062-8332
Phone
(770) 559-3186

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NPI record

NPI
1629888474
Entity type
Organization (Type 2)
Enumeration date
January 13, 2025
Last updated
January 13, 2025
Certified
January 13, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X — —

Authorized official

Name
Dr. Jeremias Duarte, DO
Title
Physician
Phone
(770) 559-3186

Other names

  • Black Tie Health

About Tiny Ducky, LLC

Tiny Ducky, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 2820 Lassiter Rd Ste 100, Bldg B, Marietta, GA 30062-8332. The NPI number 1629888474 was assigned on January 13, 2025 and the record was last updated on January 13, 2025.

The authorized official for this organization is Dr. Jeremias Duarte, DO, Physician.

Frequently asked questions

What is the NPI number of Tiny Ducky, LLC?

The NPI number is 1629888474.

What is the phone number of Tiny Ducky, LLC?

The phone number listed for the practice location is (770) 559-3186.

Where is Tiny Ducky, LLC located?

2820 Lassiter Rd Ste 100, Bldg B, Marietta, GA 30062-8332.

What is the taxonomy code for Tiny Ducky, LLC?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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