Provider Demographics
NPI:1275536260
Name:DURAND, CHARLES GERARD (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:GERARD
Last Name:DURAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:312 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804-5833
Mailing Address - Country:US
Mailing Address - Phone:865-379-2345
Mailing Address - Fax:865-379-2170
Practice Address - Street 1:312 HIGH ST
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804-5833
Practice Address - Country:US
Practice Address - Phone:865-379-2345
Practice Address - Fax:865-379-2170
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD16248207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3013866Medicare PIN