Individual
MS. DIANA MARIE DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1073 WILLIVEE DR, DECATUR, GA 30033-4129
(404) 636-3632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
017475
LA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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