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CHARLES HENRY DURDEN MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1598842031

Individual Registrant:
 CHARLES HENRY DURDEN MD
Gender: M
Sole Proprietor

Location and contact information for practice:
110 NORMAN DORMINY DR SUITE A FITZGERALD, GA 31750-8858 US
Tel: 229-423-4333  Fax: 229-423-0928

Contact information for business:
PO BOX 480  FITZGERALD, GA 31750-0480 US
Tel: 229-423-4333  Fax: 229-423-0928

Registration Information:
NPI: 1598842031
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA011322

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00015056AGA05




HEALTH CARE JOBS GA - Page 1



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