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Individual

ALAN WESLEY PURVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1450 ROSS CLARK CIR STE 400, DOTHAN, AL 36301-4770
(334) 305-0400
(334) 305-0401
Mailing address
PO BOX 2266, DOTHAN, AL 36302-1054
(334) 305-0400
(334) 305-0401

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
14630
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000019623
AL
05
00401772A
GA
05
061145000
FL
Enumeration date
09/09/2005
Last updated
03/17/2018
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