Individual
MARK DANIEL DURDEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1095 GRAY HWY, MACON, GA 31211-1856
(478) 745-6119
(478) 745-6110
Mailing address
1095 GRAY HWY, MACON, GA 31211-1856
(478) 745-6119
(478) 745-6110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9806
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00098282A
—
GA
Enumeration date
07/11/2006
Last updated
07/08/2007
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