Healthcare Provider Details

I. General information

NPI: 1730168881
Provider Name (Legal Business Name): JAMES BYRON CURRIE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 05/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 S MAIN ST
RANDOLPH VT
05060-1381
US

IV. Provider business mailing address

PO BOX 2000 44 SOUTH MAIN STREET
RANDOLPH VT
05060-7718
US

V. Phone/Fax

Practice location:
  • Phone: 802-728-2372
  • Fax: 802-828-2613
Mailing address:
  • Phone: 802-728-2372
  • Fax: 802-828-2613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number042-0011848
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number0420011848
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: