Individual
MR. DARWIN RUSSELL BOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
174400000X
Specialist
17836
SC
2084N0400X
Neurology Physician
17836
SC
2084N0400X
Neurology Physician
Primary
29590
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q29590
—
SC
Enumeration date
10/17/2005
Last updated
12/07/2020
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