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Individual

HEATHER L PURMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
5505 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA 30342-1713
(404) 257-0814
Mailing address
4501 CIRCLE 75 PKWY SE APT 1301, ATLANTA, GA 30339-4274

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003165
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OPT003165
STATE LICENSE NUMBER
GA
Enumeration date
06/26/2019
Last updated
06/26/2019
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