MR. Phillip Thornton Durst, CRNA

NPI #1548465982 in Woodstock, Georgia

Provider Information

NPI Number
1548465982
Entity Type
Individual
Name
MR. Phillip Thornton Durst, CRNA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Jun 17, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1022 WELLESLEY CREST DR
State
Georgia
ZIP Code
30189-6710
Phone
(678) 494-4074

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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