Boor, Darwin Russell
Boor, Darwin Russell is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Boor, Darwin Russell can be contacted via phone (770) 219-9000.Contact Information
Primary practice address
743 Spring St Ne
Gainesville GA 30501-3715
Phone: (770) 219-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 17836 | South Carolina |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 17836 | South Carolina |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 29590 | Georgia |
Profile Details
| NPI number | 1730178419 |
|---|---|
| LBN Legal business name | Boor, Darwin Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Dec 7th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730178419 | NPPES |
| South Carolina | MEDICAID | Q29590 |
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