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Individual

DR. STEVEN ALAN DUROCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1906 RAILROAD STREET, STE C, STATHAM FAMILY PRACTICE, PC, STATHAM, GA 30666
(678) 753-1122
(678) 753-0909
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
056051
GA
207Q00000X
Family Medicine Physician
056051
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
810703163A
GA
05
810703163I
GA
Enumeration date
07/26/2005
Last updated
10/16/2018
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