Provider Demographics
NPI:1033648654
Name:DURALL CAPITAL HOLDINGS, LLC
Entity Type:Organization
Organization Name:DURALL CAPITAL HOLDINGS, LLC
Other - Org Name:DAWSON FAMILY PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:DURALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-867-4311
Mailing Address - Street 1:35 LUMPKIN CAMPGROUND RD N
Mailing Address - Street 2:
Mailing Address - City:DAWSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30534-6206
Mailing Address - Country:US
Mailing Address - Phone:706-265-8439
Mailing Address - Fax:706-265-8442
Practice Address - Street 1:35 LUMPKIN CAMPGROUND RD N
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-6206
Practice Address - Country:US
Practice Address - Phone:706-265-8439
Practice Address - Fax:706-265-8442
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DURALL CAPITAL HOLDINGS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health