Individual
GAYNOR DURDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
215 SANDY LN, BROOKS, GA 30205-2660
(706) 741-7454
Mailing address
PO BOX 133, BROOKS, GA 30205-0133
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN274812
GA
Other
Enumeration date
01/11/2024
Last updated
01/21/2024
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