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1598842031 NPI number — CHARLES HENRY DURDEN MD

NPI Number: 1598842031
Health Care Provider/Practitioner: CHARLES HENRY DURDEN MD

Information about “1598842031” NPI (CHARLES HENRY DURDEN MD) exists in 1598842031 in HTML format HTML  |  1598842031 in plain Text format TXT  |  1598842031 in PDF (Portable Document Format) PDF  |  1598842031 in an XML format XML  formats.

NPI Number : 1598842031 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598842031",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DURDEN",
    "FirstName": "CHARLES",
    "MiddleName": "HENRY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 480",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FITZGERALD",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31750-0480",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "229-423-4333",
    "MailingAddressFaxNumber": "229-423-0928",
    "FirstLinePracticeLocationAddress": "110 NORMAN DORMINY DR",
    "SecondLinePracticeLocationAddress": "SUITE A",
    "PracticeLocationAddressCityName": "FITZGERALD",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31750-8858",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "229-423-4333",
    "PracticeLocationAddressFaxNumber": "229-423-0928",
    "EnumerationDate": "11/01/2006",
    "LastUpdateDate": "11/23/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "011322",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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