Individual
JACKSON COHEN PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
851 E CHEVES ST, FLORENCE, SC 29506-2632
(843) 777-2000
Mailing address
4630 ARMFIELD RD, EFFINGHAM, SC 29541-5043
(843) 621-1327
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
29995
SC
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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