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Individual

DR. DANIEL BLAKE PURVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
715 W 4TH ST, ADEL, GA 31620-2657
(229) 896-2300
(229) 896-1350
Mailing address
715 W 4TH ST, ADEL, GA 31620-2657
(229) 896-2300
(229) 896-1350

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH026083
GA

Other

Enumeration date
08/01/2012
Last updated
08/01/2012
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