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DR. GEORGE DURST M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1174508378

Individual Registrant:
DR. GEORGE  DURST M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
306 STATION 22 1/2 ST  SULLIVANS ISLAND, SC 29482-9756 US
Tel: 843-883-3176  Fax: 843-883-3459

Contact information for business:
PO BOX 751649  CHARLOTTE, NC 28275-1649 US
Tel: 843-789-1620  Fax: 843-724-2440

Registration Information:
NPI: 1174508378
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
SC5195

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
051954SC05




HEALTH CARE JOBS SC - Page 1



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