Provider Demographics
NPI:1215099825
Name:GAUCHER, DAVID DURAND (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:DURAND
Last Name:GAUCHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 LANIER AVE E
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-1604
Mailing Address - Country:US
Mailing Address - Phone:770-719-1985
Mailing Address - Fax:770-461-5079
Practice Address - Street 1:200 E LANIER AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-1604
Practice Address - Country:US
Practice Address - Phone:770-461-8781
Practice Address - Fax:770-461-5079
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006853111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor