Duralde, Fernando A.

Duralde, Fernando A. is an individual health care provider with primary practice located at 1336 Highway 54 W Bldg 200, Fayetteville GA 30214-4535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Duralde, Fernando A. can be contacted via phone (770) 716-9656.

Contact Information

Primary practice address
1336 Highway 54 W Bldg 200 Fayetteville GA 30214-4535
Phone: (770) 716-9656
Fax: (770) 716-1609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 027370 Georgia

Profile Details

NPI number 1407856552
LBN Legal business name Duralde, Fernando A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jan 15th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407856552 NPPES
Georgia MEDICAID 000439414E

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