Individual
BREANNA LYNN DURBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
257 HOSPITAL DR NE STE 200, BOLIVIA, NC 28422-8411
(910) 721-4000
(910) 721-4001
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 721-4000
(910) 721-4001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2024-00566
NC
390200000X
Student in an Organized Health Care Education/Training Program
250876
NC
Other
Enumeration date
04/02/2019
Last updated
07/31/2024
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