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Contact Information

DARRELL F CORDER
175 GWINNETT DR
LAWRENCEVILLE, GA30046-8444
 Phone: 678-209-2394
 Fax: 678-212-6343
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DARRELL F CORDER · (Male)

NPI Number 1710382916
Status Active
Credentials
Entity Individual
Enumeration date 10/30/2014
Last updated 10/30/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • GA License # MSW006379
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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