Individual
DR. JAYA PURATHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(910) 298-3125
(910) 320-8409
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(910) 298-3125
(910) 320-8409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2022039228
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PURA-C3W7X6
NC
Other
Enumeration date
02/13/2023
Last updated
04/06/2024
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