Individual
RUSSELL DURING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 353-3347
(229) 353-7722
Mailing address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 353-3347
(229) 353-7722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005611
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005611
STATE LICENSE NUMBER
GA
Enumeration date
08/12/2009
Last updated
08/12/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us