Individual
DR. MARILYN L DURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
120 HANDLEY RD, SUITE 220, TYRONE, GA 30290-2177
(770) 631-7600
(770) 774-0122
Mailing address
PO BOX 142216, FAYETTEVILLE, GA 30214-6511
(770) 631-7600
(770) 774-0122
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5438
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35ZCGLN
CARRIER PROVIDER NUMBER
GA
Enumeration date
10/26/2006
Last updated
12/10/2013
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