Organization
HEART GROUP OF THE EASTERN SHORE, P.C.
Active
Other names
Michael S. Purlsey MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S PURSLEY MD (PRESIDENT/OWNER)
(251) 990-1920
Entity
Organization
Contact information
Practice address
150 S. INGLESIDE STREET, #4 MEDICAL PARK, FAIRHOPE, AL 36532-1804
(251) 990-1920
(251) 990-1921
Mailing address
PO BOX 850266, MOBILE, AL 36685-0266
(251) 990-1920
(251) 990-1921
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25610
AL
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009936433
—
AL
05
—
009936434
—
AL
05
—
009936436
—
AL
05
—
009936467
—
AL
05
—
051554382
—
AL
05
—
05538519
—
MS
01
—
1467430777
NPI
AL
01
—
1609095157
GRP NPI
AL
01
—
1689678674
BRAND NPI
AL
01
—
51503479
BC/MC
AL
01
—
51541652
MEDICARE BRAND
AL
01
—
529927690
GRP MEDICAID
AL
01
—
DE4413
RR MEDICARE FOR GROUP
AL
01
—
K814
MEDICARE GRP
AL
01
—
P00082012
RR MEDICARE
AL
Enumeration date
04/24/2007
Last updated
12/09/2013
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