Individual
BAHRUM BARRY DARUGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
803 S MAIN ST, GREENSBORO, GA 30642-1211
(706) 453-1201
Mailing address
803 S MAIN ST, GREENSBORO, GA 30642-1211
(706) 453-1201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011834
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000956238A
—
GA
Enumeration date
04/19/2007
Last updated
09/14/2016
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