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DR. MARILYN L DURDEN D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1831274752

Individual Registrant:
DR. MARILYN L DURDEN D.C.
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

Contact information for business:
PO BOX 142216  FAYETTEVILLE, GA 30214-6511 US
Tel: 770-631-7600  Fax: 770-774-0122

Registration Information:
NPI: 1831274752
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
GA5438

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CARRIER PROVIDER NUMBER35ZCGLNGA01




HEALTH CARE JOBS GA - Page 1



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