Individual
EDWARD SANFORD PURVIS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2232 WILBORN AVENUE, PHYSICIANS PAVILION, SOUTH BOSTON, VA 24592-2936
(434) 517-0233
Mailing address
PO BOX 860, SOUTH BOSTON, VA 24592-0860
(434) 517-3590
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101053990
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007313501
—
VA
01
—
104303
OPTIMA
VA
01
—
462169
ANTHEM BC BS
VA
01
—
P00038731
RAILROAD MEDICARE
VA
Enumeration date
07/14/2005
Last updated
07/25/2018
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