Individual
DR. JOHN H DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3031 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1443
(803) 531-2677
(803) 531-6137
Mailing address
3031 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1443
(803) 531-2677
(803) 531-6137
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24026
SC
207RN0300X
Nephrology Physician
Primary
24026
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T82005
—
SC
Enumeration date
07/11/2006
Last updated
01/05/2024
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