Doctor Name: | MR. JAMES HARVEY DURHAM |
NPI Number: | 1043331382 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 1454981 |
Business Practice Address: | 106 Ash Street Suite Ii Adamsville, TN - 38310 |
Business Phone Number: | 7312013430 |
Business Fax Number: | 8664307946 |
Mailing Address: | 552 Glen Abernathy Rd, ADAMSVILLE |
State: | TN |
Postal Code: | 383101704 |
Phone Number: | 7316076022 |
Fax Number: | 7316329814 |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 03/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1454981 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |