Organization
PURCELL CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN C WALSH (PRACTICE MANAGER)
(910) 276-7570
Entity
Organization
Contact information
Practice address
418 S KING ST, LAURINBURG, NC 28352-3704
(910) 276-7570
(910) 276-1327
Mailing address
418 S KING ST, LAURINBURG, NC 28352-3704
(910) 276-7570
(910) 276-1327
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21820
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02477
BLUE CROSS PROVIDER NUMBE
NC
05
—
7902477
—
NC
05
—
NPA575
—
SC
Enumeration date
10/06/2005
Last updated
07/22/2013
Update your record
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