Individual
MR. FRED EUGENE PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
GA RPH 10245
Contact information
Practice address
WINN DIXIE 101, 103 TALMADGE DR, MOULTRIE, GA 31768
(229) 891-2555
(229) 890-9826
Mailing address
163 HWY 37, ADEL, GA 31620
(229) 896-2637
(229) 896-1302
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
GARPH10295
GA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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