Individual
JOHN RAYMOND DURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 MARIARDEN RD, STE D, DADEVILLE, AL 36853-0129
(256) 825-7871
(256) 825-5742
Mailing address
PO BOX 129, DADEVILLE, AL 36853-0129
(256) 825-7871
(256) 825-5742
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19640
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
543420001
—
AL
Enumeration date
07/07/2006
Last updated
04/04/2011
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