Individual
DR. WILLIAM EDWARD DURRETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
5110 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3814
(803) 642-6500
(803) 649-7551
Mailing address
5110 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3814
(803) 642-6500
(803) 642-6472
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
14324
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143240
—
SC
01
—
P00435369
RR MEDICARE
SC
Enumeration date
08/05/2006
Last updated
10/23/2024
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