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Organization Active NPI

Dourron Women's Specialist

  • Obstetrics & Gynecology Physician
  • Riverdale, GA
National Provider Identifier
1629390133
Registry record updated Dec 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
014308 Issued in GA
Legal business name
DOURRON WOMEN'S SPECIALIST
Practice address
253 Upper Riverdale Rd SW
Suite B
Riverdale, GA 30274-4945
Phone
(678) 381-1531
Fax
(678) 990-3767
NPI assigned
Feb 25, 2010
Last updated
Dec 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2010

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

Authorized official

Name
Dr. Maria L Dourron, M.D.
Title
Owner/Physician
Phone
(678) 381-1531

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 014308 GA Primary
Gynecology Physician 207VG0400X 014308 GA
Obstetrics Physician 207VX0000X 014308 GA

Addresses

Primary practice location

253 Upper Riverdale Rd SW
Suite B
Riverdale, GA 30274-4945

Mailing address

253 Upper Riverdale Rd SW
Suite B
Riverdale, GA 30274-4945
Phone (678) 381-1531

National Provider Directory

National Provider Directory

Locations

253 Upper Riverdale Rd SW
Ste B
Riverdale, GA 30274
Phone (678) 381-1531

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292025600000",
    "number": "1629390133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 UPPER RIVERDALE RD SW",
            "address_2": "SUITE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744945",
            "telephone_number": "678-381-1531",
            "fax_number": "678-990-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 UPPER RIVERDALE RD SW",
            "address_2": "SUITE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744945",
            "telephone_number": "678-381-1531",
            "fax_number": "678-990-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOURRON WOMEN'S SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-12-11",
        "status": "A",
        "authorized_official_last_name": "DOURRON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "678-381-1531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "014308",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "014308",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "GA",
            "license": "014308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2010; 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.