Individual
CHARLES JAMES PURNELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
704 CROSSTIE ST, KNIGHTDALE, NC 27545-9774
(443) 801-4876
Mailing address
704 CROSSTIE ST, KNIGHTDALE, NC 27545-9774
(443) 801-4876
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
000028295843
NC
Other
Enumeration date
10/12/2021
Last updated
10/13/2021
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