Individual
DR. DEBRA R. DURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8025 KINGSTON PIKE STE 1, KNOXVILLE, TN 37919-5582
(865) 293-5828
Mailing address
8025 KINGSTON PIKE STE 1, KNOXVILLE, TN 37919-5582
(865) 293-5828
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37682
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3888581
—
TN
05
—
3888584
—
TN
01
—
4067380
BLUE CROSS
TN
01
—
4067382
BLUE CROSS
TN
05
—
64078298
—
KY
01
—
P00231016
RAILROAD MEDICARE
TN
Enumeration date
07/05/2006
Last updated
08/21/2024
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