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Individual

IRVINE DUPLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57066
GA
208M00000X
Hospitalist Physician
Primary
057066
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
765124784A
GA
05
765124784B
GA
05
765124784C
GA
01
P00363495
RR MEDICARE
GA
Enumeration date
10/12/2006
Last updated
12/02/2020
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