Individual provider · Type 1 NPI
George William Durrell Iv, PA-C
Surgical Physician Assistant · Statesboro, GA
NPI number
1053144238
Active
Practice location
1497 Fair Rd Ste 200
Statesboro, GA 30458-0824
Fax (912) 871-7110
Mailing address
PO Box 689022
Franklin, TN 37068-9022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 12628 (GA) |
| Surgical Physician Assistant Primary | 363AS0400X | 12628 (GA) |
Surgical Physician Assistant: Definition to come...
3 other providers at this address
Other surgical physician assistant providers in Statesboro
About NPI 1053144238
George William Durrell Iv, PA-C's National Provider Identifier is 1053144238, issued on Aug 22, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Statesboro, GA. The record was last updated on Nov 4, 2025.