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Organization

EDWARD S PURVIS II MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD S. PURVIS II MD (PRESIDENT)
(434) 517-3910
Entity
Organization

Contact information

Practice address
2232 WILBORN AVE, SOUTH BOSTON, VA 24592
(434) 517-3910
(434) 517-3912
Mailing address
2232 WILBORN AVE, SOUTH BOSTON, VA 24592
(434) 517-3910
(434) 517-3912

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101053990
VA

Other

Enumeration date
07/14/2006
Last updated
02/01/2011
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