Individual
DR. DENT W. PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 WILLOWPEG WAY, RINCON, GA 31326-9157
(912) 826-5465
(912) 826-4851
Mailing address
2864 JOHNSON FERRY RD, SUITE 150, MARIETTA, GA 30062-5635
(770) 693-2622
(770) 693-6039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
GA 12545
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060607A
—
GA
Enumeration date
08/09/2005
Last updated
07/19/2007
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