Doctor Name: | DR. JOHN H DURHAM |
NPI Number: | 1558396309 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 24026 |
Business Practice Address: | 1175 Cook Rd Ste 115 Orangeburg, SC - 291188201 |
Business Phone Number: | 8035312677 |
Business Fax Number: | 8035318561 |
Mailing Address: | 1175 Cook Rd Ste 115, ORANGEBURG |
State: | SC |
Postal Code: | 291188201 |
Phone Number: | 8035312677 |
Fax Number: | 8035318561 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 10/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 24026 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |