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Individual

DR. DURIE DELANO HUMBER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
165 BURKE ST, SUITE 105, STOCKBRIDGE, GA 30281-3463
(770) 389-4724
(678) 272-4031
Mailing address
165 BURKE ST, SUITE 105, STOCKBRIDGE, GA 30281-3463
(770) 389-4724
(678) 272-4031

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5325
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
664098
UNITED HEALTH CARE
GA
Enumeration date
12/06/2006
Last updated
07/08/2007
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