Healthcare Provider Details
I. General information
NPI: 1972549301
Provider Name (Legal Business Name): DAVID R. DURALIA M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/22/2006
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2874 NC HWY 127 S
HICKORY NC
28602-9130
US
IV. Provider business mailing address
2874 NC HWY 127 S
HICKORY NC
28602-9130
US
V. Phone/Fax
- Phone: 828-294-4100
- Fax: 800-951-8614
- Phone: 828-294-4100
- Fax: 800-951-8614
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 200200679 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: