Individual
MR. JOSEPH DURANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, BA
Contact information
Practice address
1111 GLYNCO PKWY, STE. 400, BRUNSWICK, GA 31525-7921
(912) 269-4534
Mailing address
107 MACKAY CIR, BRUNSWICK, GA 31525-4525
(912) 269-4534
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT003512
GA
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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