Individual
MELINDA SUE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2212 OLD FURNACE ROAD, BOILING SPRINGS, SC 29316
(864) 578-9735
(864) 578-7098
Mailing address
PO BOX 277827, ATLANTA, GA 30384-7827
(864) 253-8080
(864) 543-1048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16196
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161960
—
SC
01
—
P00402267
MEDICARE RAILROAD PTAN#
GA
Enumeration date
05/18/2006
Last updated
10/31/2008
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