Individual
DR. JEANETTE DUREA LEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5780 PEACHTREE DUNWOODY ROAD, SUITE 320, ATLANTA, GA 30342-1513
(404) 256-2943
(404) 256-6027
Mailing address
5780 PEACHTREE DUNWOODY ROAD, SUITE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
051283
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000951585A
—
GA
05
—
000951585B
—
GA
05
—
000951585F
—
GA
Enumeration date
09/27/2005
Last updated
05/12/2016
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