Individual
DR. CHARLES WILLIAM PURYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11092 HIGHWAY 51 S, ATOKA, TN 38004-4947
(901) 840-2323
Mailing address
1278 ISLE BAY DR, MEMPHIS, TN 38103-8955
(901) 730-0306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000009526
TN
Other
Enumeration date
09/05/2013
Last updated
09/05/2013
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