Wellformed AI

NPI 1174592984 · live from the CMS NPI Registry

Julie Ross Durand, M.D.

Ophthalmology in Maryville, TN. National Provider Identifier 1174592984, active.

NPI record

NPI1174592984 Type 1 · individual
StatusActive
Primary specialtyOphthalmology 207W00000X
Practice location622 Smithview Dr, Maryville, TN 37803
Practice phone865-681-1234
Mailing address1932 Alcoa Hwy Ste 255, Knoxville, TN 37920
EnumeratedMarch 15, 2006
Last updatedJanuary 31, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Ophthalmology primary207W00000X021360 (TN)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.