Provider Demographics
NPI:1447473194
Name:DURRENCE, JOSEPH (CFO)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:DURRENCE
Suffix:
Gender:M
Credentials:CFO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 HARTNESS ROAD
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-3425
Mailing Address - Country:US
Mailing Address - Phone:704-878-9168
Mailing Address - Fax:704-871-0655
Practice Address - Street 1:744 HARTNESS ROAD
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-3425
Practice Address - Country:US
Practice Address - Phone:704-878-9168
Practice Address - Fax:704-871-0655
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7702811Medicaid
NC7795314Medicaid
NC7702811Medicaid