Individual
DR. ALAN DWAYNE DURANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
300 W 4TH ST, WAYNESBORO, GA 30830-1511
(706) 554-2020
Mailing address
300 W 4TH ST, WAYNESBORO, GA 30830-1530
(706) 554-9442
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1272-T
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000479674A
—
GA
05
—
000479674B
—
GA
Enumeration date
10/02/2006
Last updated
07/31/2019
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