NPI 1407856552

Fernando A. Duralde, MD

Practitioner Urology Physician Fayetteville, GA

Practice location

Address: 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214-4535
Phone: (770) 716-9656
Fax: (770) 716-1609
Mailing address: 1930 Brannan Rd, McDonough, GA 30253-4310

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 027370 (GA)

Other Urology providers in Georgia →

Registry record

NPI: 1407856552
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2005
Record last updated: 15 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.