Individual
MARY L PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN ACRN
Contact information
Practice address
440 WINN WAY, DECATUR, GA 30030-1715
(770) 378-8932
(404) 508-7879
Mailing address
2191 ROCKBRIDGE RD, UNIT 1601, STONE MOUNTAIN, GA 30087-3588
(770) 469-0883
(404) 508-7879
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN035462
GA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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