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MR. SAVIN DURHAM
>> Community Health Worker >> Other Service ProvidersRegistrant NPI Number: 1083089684
Individual Registrant:MR. SAVIN DURHAM
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
239 PIERCE RD TRION, GA 30753-4400 US
Tel: 706-696-0014 Fax: --
Tel: 706-696-0014 Fax: --
Contact information for business:
239 PIERCE RD TRION, GA 30753-4400 US
Tel: 706-696-0014 Fax: --
Tel: 706-696-0014 Fax: --
Registration Information:
NPI: 1083089684
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 172V00000X | Other Service Providers Community Health Worker |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
