Provider Demographics
NPI:1174592984
Name:DURAND, JULIE ROSS (MD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ROSS
Last Name:DURAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1932 ALCOA HWY STE 255
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1508
Mailing Address - Country:US
Mailing Address - Phone:865-220-2030
Mailing Address - Fax:865-684-1196
Practice Address - Street 1:622 SMITHVIEW DR
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37803-6100
Practice Address - Country:US
Practice Address - Phone:865-681-1234
Practice Address - Fax:865-982-9746
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN021360207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
100037646OtherPHP
1265110OtherCIGNA
4100385OtherAETNA
TN0113OtherJOHN DEERE
4097416OtherBLUE CROSS BLUE SHIELD
0943434OtherUNITED HEALTHCARE
3333333OtherUMWA
TN3059377Medicare PIN
4097416OtherBLUE CROSS BLUE SHIELD
4100385OtherAETNA