Provider Demographics
NPI:1558534321
Name:ROBERT DARRIN HURST, DPM
Entity Type:Organization
Organization Name:ROBERT DARRIN HURST, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DARRIN
Authorized Official - Last Name:HURST
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:731-925-9788
Mailing Address - Street 1:425 WAYNE RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TN
Mailing Address - Zip Code:38372-1944
Mailing Address - Country:US
Mailing Address - Phone:731-925-9788
Mailing Address - Fax:731-925-8928
Practice Address - Street 1:425 WAYNE RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372-1944
Practice Address - Country:US
Practice Address - Phone:731-925-9788
Practice Address - Fax:731-925-8928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDPM0000000565332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4182970001Medicare NSC
U83739Medicare UPIN