Individual
MR. GEORGE WILLIAM DURRELL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1497 FAIR RD STE 200, STATESBORO, GA 30458-0824
(912) 871-7100
(912) 871-7110
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(912) 871-7100
(912) 871-7110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
12628
GA
363AS0400X
Surgical Physician Assistant
Primary
12628
GA
Other
Enumeration date
08/22/2024
Last updated
11/04/2025
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