Durant, John Raymond

Durant, John Raymond is an individual health care provider with primary practice located at 301 Mariarden Rd Ste D, Dadeville AL 36853-0129. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Durant, John Raymond can be contacted via phone (256) 825-7871.

Contact Information

Primary practice address
301 Mariarden Rd Ste D Dadeville AL 36853-0129
Phone: (256) 825-7871
Fax: (256) 825-5742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 19640 Alabama

Profile Details

NPI number 1790717858
LBN Legal business name Durant, John Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Apr 4th, 2011 - about 14 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 1790717858 NPPES
Alabama MEDICAID 543420001

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