Individual
JOHN R DUPRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
604A S 8TH ST, GRIFFIN, GA 30224-4214
(770) 227-1999
Mailing address
604A S 8TH ST, GRIFFIN, GA 30224-4214
(770) 227-1999
(770) 233-0998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
031590
GA
207RP1001X
Pulmonary Disease Physician
Primary
031590
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000518746C
—
GA
Enumeration date
08/12/2006
Last updated
06/30/2015
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