Individual
JUSTIN NOBLE DURLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(437) 921-4148
Mailing address
169 ASHLEY AVENUE, ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425
(843) 792-2300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL85861
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2021
Last updated
04/03/2024
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