Evelyn Veronica Durant

Individual provider Active NPI Driver · Florence, SC

NPI 1669159489 · NPPES record last updated Jul 10, 2023

Key facts

NPI
1669159489
Entity type
Individual (NPI type 1)
Primary specialty
Driver 172A00000X
License
007680523 (SC)
Practice address
1406 W Darlington St
Florence, SC 29501-2124
Phone
(843) 615-3674
NPI assigned
Jul 3, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
007680523SCMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Durant Express LLC Current
since Aug 6, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 007680523 SC Yes

Addresses

Primary practice location

1406 W Darlington St
Florence, SC 29501-2124

Mailing address

1406 W Darlington St
Florence, SC 29501-2124
Phone (843) 615-3674

Other providers in Florence, SC

All providers in Florence, SC · Driver in South Carolina

Sources for this page

Verify at the official NPI Registry.