Individual
DR. RONALD REID DURBIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6600 VAN AALST BLVD # 2A-124, FORT MOORE, GA 31905-2102
(762) 408-3565
Mailing address
6600 VAN AALST BLVD # 2A-124, FORT MOORE, GA 31905-2102
(762) 408-3565
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
045691
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001456913
—
CT
01
—
010045691CT01
ANTHEM
CT
01
—
045691
CT CARE
CT
01
—
2V9940
HEALTHNET
CT
01
—
8221524
CIGNA
CT
Enumeration date
01/26/2007
Last updated
02/28/2024
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