Individual
DWAYNE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
204 S KING ST, HENDERSONVILLE, NC 28792-5059
(828) 692-1333
(828) 698-0048
Mailing address
204 S KING ST, HENDERSONVILLE, NC 28792-5059
(828) 692-1333
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0003
NC
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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