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Individual

DR. GEORGE DURST JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
306 STATION 22 1/2 ST, SULLIVANS ISLAND, SC 29482-9756
(843) 883-3176
(843) 883-3459
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5195
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051954
SC
Enumeration date
12/09/2005
Last updated
12/05/2021
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