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DR. MARILYN L DURDEN D.C.
>> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1831274752
Individual Registrant:DR. MARILYN L DURDEN D.C.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
120 HANDLEY RD SUITE 220 TYRONE, GA 30290-2177 US
Tel: 770-631-7600 Fax: 770-774-0122
Tel: 770-631-7600 Fax: 770-774-0122
Contact information for business:
PO BOX 142216 FAYETTEVILLE, GA 30214-6511 US
Tel: 770-631-7600 Fax: 770-774-0122
Tel: 770-631-7600 Fax: 770-774-0122
Registration Information:
NPI: 1831274752
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractic Providers Chiropractor | GA | 5438 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| CARRIER PROVIDER NUMBER | 35ZCGLN | GA | 01 |
