| Doctor Name: | DR. RANDY EDWARD DURBIN |
| NPI Number: | 1255518007 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 34.009347 |
| Business Practice Address: | 5400 Laurel Springs Pkway Building 1400 Suwanee, GA - 300243816 |
| Business Phone Number: | 4044022078 |
| Business Fax Number: | |
| Mailing Address: | 5400 Laurel Springs Pkwy, Building 1400 SUWANEE |
| State: | GA |
| Postal Code: | 300246056 |
| Phone Number: | 7062167188 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2008 |
| NPI Last Update Date: | 08/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 34.009347 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |