Individual
TYLER RUSSELL PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 KELLWOOD DR STE 220A, PERRY, GA 31069-3263
(478) 300-7020
(478) 395-5221
Mailing address
110 KELLWOOD DR STE 220A, PERRY, GA 31069-3263
(478) 300-7020
(478) 395-5221
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
92587
GA
Other
Enumeration date
01/13/2019
Last updated
11/09/2023
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