Individual
MR. WAYNE DAVID DURBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4600 FORT HENRY DR, KINGSPORT, TN 37663-2617
(423) 224-3950
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
834
TN
Other
Enumeration date
10/03/2006
Last updated
08/20/2024
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