Individual
DR. ROBERT SCOTT PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3001 NEWCASTLE LOOP, ATTN: LISA BASS, MYRTLE BEACH, SC 29588-4502
(843) 215-1100
(843) 215-1211
Mailing address
3001 NEWCASTLE LOOP, ATTN: LISA BASS, MYRTLE BEACH, SC 29588-4502
(843) 215-1100
(843) 215-1211
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17893
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178952
—
SC
05
—
890633F
—
NC
Enumeration date
05/17/2006
Last updated
12/04/2012
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