Durand, Blanca Ileana
Durand, Blanca Ileana is an individual health care provider with primary practice located at 1101 Hospital Dr Ste 100A, Stockbridge GA 30281-9076. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otology & Neurotology, which is considered as her primary health care specialty. Durand, Blanca Ileana can be contacted via phone (770) 474-7416.Contact Information
Primary practice address
1101 Hospital Dr Ste 100A
Stockbridge GA 30281-9076
Phone: (770) 474-7416
Fax: (770) 389-6210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 046956 | Georgia |
Profile Details
| NPI number | 1902802689 |
|---|---|
| LBN Legal business name | Durand, Blanca Ileana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | May 15th, 2017 - about 7 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 | 1902802689 | NPPES |
| Georgia | MEDICAID | 00825382 |
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