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NPI Code Detail

MEDICARE: DR. NICHOLAS B DRURY MD

MEDICARE: DR. NICHOLAS B DRURY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician94038SC

General Provider Information

NPI Number : 1104464981
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS B DRURY MD
Provider Business Mailing Address
First Line : 2295 HENRY TECKLENBURG DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-7801
Country : US
Telephone Number : 843-766-7103
Fax Number :
Provider Business Practice Location Address
First Line : 1231 RIBAUT RD
Second Line :
City : BEAUFORT
State : SC
Zip : 29902-6147
Country : US
Telephone Number : 843-766-7103
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2019
Last Update Date : 06/17/2025

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Directions to “ DR. NICHOLAS B DRURY MD” Practice Location

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