Individual
JOHN BRANDON DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4200 REGENT ST STE 200, COLUMBUS, OH 43219-6229
(877) 870-1775
(614) 968-8840
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
212526
SC
363LF0000X
Family Nurse Practitioner
Primary
21769
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5083
—
SC
01
—
SCC5297628
MEDICARE PIN
SC
Enumeration date
03/13/2018
Last updated
04/10/2024
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