Provider Demographics
NPI:1033930664
Name:JAMES MCDOWELL DURANT LLL MD PC
Entity type:Organization
Organization Name:JAMES MCDOWELL DURANT LLL MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MCDOWELL
Authorized Official - Last Name:DURANT
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:843-252-1351
Mailing Address - Street 1:2525 HAMPTON AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-2519
Mailing Address - Country:US
Mailing Address - Phone:843-252-1351
Mailing Address - Fax:704-519-2830
Practice Address - Street 1:2525 HAMPTON AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-2519
Practice Address - Country:US
Practice Address - Phone:843-252-1351
Practice Address - Fax:704-519-2830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Single Specialty