Healthcare Provider Details

I. General information

NPI: 1700883246
Provider Name (Legal Business Name): DURALL CAPITAL HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 MOUNTAIN DRIVE
DAHLONEGA GA
30533
US

IV. Provider business mailing address

227 MOUNTAIN DRIVE
DAHLONEGA GA
30533
US

V. Phone/Fax

Practice location:
  • Phone: 706-864-6136
  • Fax: 706-864-1356
Mailing address:
  • Phone: 706-864-6136
  • Fax: 706-864-1356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MS. NATASHEA M BENNETT
Title or Position: AUTHORIZED OFFICIAL
Credential: LPN
Phone: 706-265-8439