Mr Fernando A Duralde, MD | |
1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214-4535 | |
(770) 716-9656 | |
(770) 716-1609 |
Full Name | Mr Fernando A Duralde |
---|---|
Gender | Male |
Speciality | Urology |
Location | 1336 Highway 54 W, Fayetteville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407856552 | NPI | - | NPPES |
000439414E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 027370 (Georgia) | Primary |
Entity Name | Georgia Urology, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245250646 PECOS PAC ID: 8921094376 Enrollment ID: O20040422000123 |
Entity Name | Urological Professional Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033521810 PECOS PAC ID: 9638391717 Enrollment ID: O20141104002579 |
Mailing Address | Practice Location Address |
---|---|
Mr Fernando A Duralde, MD 1930 Brannan Rd, Mcdonough, GA 30253-4310 Ph: (678) 284-4040 | Mr Fernando A Duralde, MD 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214-4535 Ph: (770) 716-9656 |
Brittani Linnea Barrett-harlow, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214 Phone: 770-460-9777 | |
Kevin Yang, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214 Phone: 770-460-9777 | |
Edan Shapiro, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214 Phone: 770-460-9777 Fax: 770-460-0650 | |
Dr. John Thomas Abbott Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214 Phone: 770-460-9777 Fax: 770-460-0650 |