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MCDANIEL & DURRETT P.C NPI 1306978242


NPI Information

NPI: 1306978242
Provider Name: MCDANIEL & DURRETT, P.C
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 11D0869472

Address:
105 COLLIER RD NW
SUITE 1080
ATLANTA, GA
ZIP 30309
Phone: (404) 352-2850
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MCDANIEL & DURRETT, P.C is a specialist in Atlanta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MCDANIEL & DURRETT, P.C NPI is 1306978242. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 COLLIER RD NW
SUITE 1080
ATLANTA, GA
ZIP 30309-710
Phone: (404) 352-2850
Fax: (404) 352-0947

The provider's authorized official is Lynley S Durrett .
The authorized official title is President and has the following contact phone number (404) 352-2850.

The CLIA number assigned to this NPI record is 11D0869472 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/16/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist44912GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
116BBBRFMEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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