Individual
DR. MARY KATHERINE DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
288 S RIDGECREST AVE, RUTHERFORDTON, NC 28139-2838
(828) 286-5000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101271522
VA
207P00000X
Emergency Medicine Physician
200000779
NC
207Q00000X
Family Medicine Physician
Primary
0101271522
VA
207Q00000X
Family Medicine Physician
L24002
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130YY
BCBS
NC
01
—
754899
AETNA
SC
05
—
89130YY
—
NC
01
—
C9129
MEDCOST
SC
05
—
N00779
—
SC
Enumeration date
01/31/2006
Last updated
04/20/2021
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