Individual
CHARLES HENRY DURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 NORMAN DORMINY DR, SUITE A, FITZGERALD, GA 31750-8858
(229) 423-4333
(229) 423-0928
Mailing address
PO BOX 480, FITZGERALD, GA 31750-0480
(229) 423-4333
(229) 423-0928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011322
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015056A
—
GA
Enumeration date
11/01/2006
Last updated
11/23/2009
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