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Individual

DR. RODRIGO A DURALDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1800 PEACHTREE ST NW, SUITE 400, ATLANTA, GA 30309-2519
(404) 351-7654
(404) 609-7605
Mailing address
1800 PEACHTREE ST NW STE 750, ATLANTA, GA 30309-2530
(404) 351-7654
(404) 609-7605

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
038224
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000645103H
GA
Enumeration date
05/17/2006
Last updated
06/11/2020
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