Marie Maude Durandisse

NPI #1942082979 in Douglasville, Georgia

Provider Information

NPI Number: 1942082979
Entity Type: Individual
Name: Marie Maude Durandisse
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Enumeration Date: Oct 16, 2023
Last Updated: Oct 16, 2023

Practice Location

Address: 8954 HOSPITAL DR
City: Douglasville
State: Georgia
ZIP Code: 30134-2272
Phone: (470) 644-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
General Practice	208D00000X
Family Medicine	207Q00000X	Primary
Emergency Medicine	207P00000X

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