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Individual

MRS. RHONDA MICHELLE DURHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A-GNP-C

Contact information

Practice address
60 OKATIE VILLAGE DR, OKATIE, SC 29909-6554
(843) 548-2500
Mailing address
1662 MARS AVE, LAKEWOOD, OH 44107-3825
(216) 712-6556
(216) 712-6596

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN154981
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
APN.21872RX
SC
363LP2300X
Primary Care Nurse Practitioner
RN154981
GA

Other

Enumeration date
03/07/2017
Last updated
11/11/2024
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