Individual
TARA C. PURSELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1090 NORTHCHASE PKWY SE, SUITE 290, MARIETTA, GA 30067-6405
(770) 916-9526
Mailing address
3720 HARDY ST, SUITE 23, HATTIESBURG, MS 39402-1550
(601) 264-2779
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3608-11
MS
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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