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Organization

HUGH D. DURRENCE, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HUGH D DURRENCE R.PH., MD (COO)
(843) 795-5362
Entity
Organization

Contact information

Practice address
418 FOLLY RD, SUITE A, CHARLESTON, SC 29412-2625
(843) 795-5362
(843) 795-1921
Mailing address
418 FOLLY RD, SUITE A, CHARLESTON, SC 29412-2625
(843) 795-5362
(843) 795-1921

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18668
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080149463
MEDICARE RAILROAD
SC
05
186685
SC
01
260887564
CHAMPUS
SC
Enumeration date
01/19/2006
Last updated
08/17/2018
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