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NPI Code Detail

MEDICARE: HUGH D. DURRENCE, MD, PC

MEDICARE: HUGH D. DURRENCE, MD, PC
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
1207Q00000XFamily Medicine Physician18668SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3080149463OTHERSCMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2260887564OTHERSCCHAMPUS

General Provider Information

NPI Number : 1295715977
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUGH D. DURRENCE, MD, PC
Provider Business Mailing Address
First Line : 418 FOLLY RD
Second Line : SUITE A
City : CHARLESTON
State : SC
Zip : 29412-2625
Country : US
Telephone Number : 843-795-5362
Fax Number : 843-795-1921
Provider Business Practice Location Address
First Line : 418 FOLLY RD
Second Line : SUITE A
City : CHARLESTON
State : SC
Zip : 29412-2625
Country : US
Telephone Number : 843-795-5362
Fax Number : 843-795-1921
Authorized Official
Title or Position : COO
Name : DR. HUGH D DURRENCE
Credential : R.PH., MD
Telephone Number : 843-795-5362
Provider Enumeration Date : 01/19/2006
Last Update Date : 08/17/2018

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Directions to “HUGH D. DURRENCE, MD, PC ” Practice Location

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