Individual
BEATRICE L. DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
421 SOUTH MAIN ST., CROSSVILLE, TN 38555
(931) 484-2879
Mailing address
271 FOXFIRE ROAD, CROSSVILLE, TN 38555
(931) 484-2879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9995
TN
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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