Individual
ANDRELL DURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 S BURWELL AVE, ADEL, GA 31620-2624
(229) 507-0156
Mailing address
PO BOX 245, ADEL, GA 31620-0245
(229) 507-0156
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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