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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902802689 NPPES
Georgia MEDICAID 00825382

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