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Individual

DR. QUINNON RALPH PURVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 W HOSPITAL ROAD, EISENHOWER ARMY MEDICAL CENTER ATTN CREDENTIALS, FORT GORDON, GA 30905-5650
(706) 787-2720
(706) 787-8176
Mailing address
300 W HOSPITAL ROAD, ATTN CREDENTIALS, FT GORDON, GA 30905-5650
(706) 787-2720
(706) 787-8176

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11308
FL

Other

Enumeration date
12/06/2006
Last updated
07/08/2007
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