Frederick Letois Durden JR. MD

NPI 1073799490 - Otolaryngology - 207Y00000X

NPI Details
NPI 1073799490
Gender Male
Enumeration Date 01/16/2008
Last Updated 12/19/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
600 CELEBRATE LIFE PKWY
SUITE 350
NEWNAN GA, 30265-8001, US
Phone (770) 400-7620
Fax
Business Location
600 CELEBRATE LIFE PKWY
SUITE 350
NEWNAN GA, 30265-8001, US
Phone (770) 400-7620
Fax (614) 261-8159
Toxanomy
Taxonomy Code 207Y00000X
License State Georgia
License Number 000792
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According to our database, Dr. Frederick Letois Durden JR. MD NPI is 1073799490, taxonomy code is 207Y00000X and license number is 000792, license state is located at Georgia. Frederick Letois Durden JR. MD physically located at 600 Celebrate Life Pkwy, Newnan GA, 30265-8001. NPI Number Frederick Letois Durden JR. MD has the Individual type.

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1073799490 NPI number is provided on an as is basis without warranty of any kind. 1073799490 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick Letois Durden JR. MD are for informational purposes only.