Individual
KRISTEN PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1909 GLOUCESTER ST, BRUNSWICK, GA 31520-6906
(912) 275-7741
Mailing address
1909 GLOUCESTER ST, BRUNSWICK, GA 31520-6906
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003272
GA
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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