DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TALICIA DURHAM NP

MEDICARE: TALICIA DURHAM NP
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
1363L00000XNurse Practitioner31334SC

General Provider Information

NPI Number : 1174476022
Entity Type Code : Individual
Provider Name (Legal Business Name) : TALICIA DURHAM NP
Provider Business Mailing Address
First Line : 200 OCEANGATE STE 100
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-4317
Country : US
Telephone Number : 888-562-5442
Fax Number :
Provider Business Practice Location Address
First Line : 115 FAIRCHILD ST STE 340
Second Line :
City : DANIEL ISLAND
State : SC
Zip : 29492-7602
Country : US
Telephone Number : 888-562-5442
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/19/2026

Similar Medicare Providers

1285726737 — WILLIAM M CRAMER
Practice Location Address:
115 FAIRCHILD ST STE 170
DANIEL ISLAND, SC
29492-7602
Practice Phone: 803-339-1563
Practice Fax: 803-746-7902
1710036470 — DANIEL J. BALOG M.D.
Practice Location Address:
115 FAIRCHILD ST STE 170
DANIEL ISLAND, SC
29492-7602
Practice Phone: 803-339-1563
Practice Fax:
1316075203 — DR. PIAVE PITISCI LAKE M.D.
Practice Location Address:
115 FAIRCHILD ST STE 170
DANIEL ISLAND, SC
29492-7602
Practice Phone: 803-339-1563
Practice Fax: 803-746-7902
1285085506 — STACY BOWMAN
Practice Location Address:
115 FAIRCHILD ST STE 170
DANIEL ISLAND, SC
29492-7602
Practice Phone: 803-339-1563
Practice Fax:
1366941148 — DJB MD LLC
Practice Location Address:
115 FAIRCHILD ST STE 170
DANIEL ISLAND, SC
29492-7602
Practice Phone: 803-339-1563
Practice Fax: 803-746-7902
1922593854 — DR. COREY HASSELL MD
Practice Location Address:
115 FAIRCHILD ST STE 170
DANIEL ISLAND, SC
29492-7602
Practice Phone: 803-339-1563
Practice Fax: 803-746-7902

Directions to “ TALICIA DURHAM NP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.