Individual
DR. BLANCA ILEANA DURAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 HOSPITAL DR, STE 100A, STOCKBRIDGE, GA 30281-9076
(770) 474-7416
(770) 389-6210
Mailing address
1240 HIGHWAY 54 W, STE 700, FAYETTEVILLE, GA 30214-4565
(770) 474-7416
(770) 389-6210
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
046956
GA
207YX0901X
Otology & Neurotology Physician
046956
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00825382
—
GA
Enumeration date
06/27/2005
Last updated
08/19/2025
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