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Individual

DAVID W DUVALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 E 16TH AVE, CORDELE, GA 31015-1623
(229) 273-8501
(229) 273-2515
Mailing address
PO BOX 5785, CORDELE, GA 31010
(229) 273-8501
(229) 273-2515

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
021498
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000220107E
GA
Enumeration date
05/22/2006
Last updated
03/22/2018
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