Individual
MONEERA M. DURBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
217 BOBBY JONES EXPY, SUITE B, AUGUSTA, GA 30907-5255
(706) 860-1171
(706) 860-1841
Mailing address
217 BOBBY JONES EXPY, SUITE B, AUGUSTA, GA 30907-5255
(706) 860-1171
(706) 860-1841
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2351
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499937484A
—
GA
05
—
499937484B
—
GA
Enumeration date
04/10/2007
Last updated
05/22/2013
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