Individual
SAMUEL GREY BARNHOUSE DURRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6001 PROFESSIONAL PKWY STE 2020, DOUGLASVILLE, GA 30134-5632
(770) 422-1372
Mailing address
6001 PROFESSIONAL PKWY STE 2020, DOUGLASVILLE, GA 30134-5632
(770) 422-1372
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
83086
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2013
Last updated
10/03/2019
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