Individual
MRS. CANDICE STAPLETON PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
303 HARRIS INDUSTRIAL BLVD STE 3, VIDALIA, GA 30474-8854
(912) 537-9355
Mailing address
303 HARRIS INDUSTRIAL BLVD STE 3, VIDALIA, GA 30474-8854
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006802
GA
Other
Enumeration date
05/30/2013
Last updated
05/20/2019
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