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Individual

MR. RUSSELL THOMAS DURDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, APRN, AGACNP-BC

Contact information

Practice address
257 MCDOWELL ST, ASHEVILLE, NC 28803-2606
(828) 258-1121
(828) 252-6114
Mailing address
238 WILDERNESS WAY, BLAIRSVILLE, GA 30512-5062
(912) 309-9206

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN209339
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
5020173
NC
363LF0000X
Family Nurse Practitioner
RN209339
GA

Other

Enumeration date
02/26/2024
Last updated
12/02/2024
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