Individual
JOSEPH CRISS VERDUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(404) 752-1400
Mailing address
868 YORK AVE SW, ATLANTA, GA 30310-2750
(404) 752-1400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
061675
GA
207Q00000X
Family Medicine Physician
4301406615
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421964061C
—
GA
Enumeration date
02/21/2007
Last updated
04/29/2014
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