Durden Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

011322 Issued in GA

Legal business name

DURDEN MEDICAL CLINIC

Practice address

110 Norman Dorminy Dr
Suite a
Fitzgerald, GA 31750-8858

Phone

(229) 423-4333

Fax

(229) 423-0928

NPI assigned

Jun 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles H. Durden, MD

Title

Owner

Phone

(229) 423-4333

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457556375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317500480",
            "telephone_number": "229-423-4333",
            "fax_number": "229-423-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NORMAN DORMINY DR",
            "address_2": "SUITE A",
            "city": "FITZGERALD",
            "state": "GA",
            "postal_code": "317508858",
            "telephone_number": "229-423-4333",
            "fax_number": "229-423-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURDEN MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURDEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-423-4333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "011322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DMC Physician Group LLC
• DMC Physician Group LLC
• DMC Physician Group LLC
• DMC Physician Group LLC
• Dorminy Medical Center
• Charles Henry Durden, MD
• Timothy David Dyess
• Talisa Esteves, BA
• Geston Garner Ewing, RPH
• Fitzgerald OB/GYN

• Family Medicine Physician in Fitzgerald, GA
• Providers in Fitzgerald, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.