Individual
SUSAN E PURSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-1121
Mailing address
480 MAPLE ST., SUITE: 103, DANVERS, MA 01923
(978) 774-4400
(978) 741-7742
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
151132
MA
208800000X
Urology Physician
72121
TN
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
151132
MA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
1822
MA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
72121
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3156842
—
MA
Enumeration date
07/20/2006
Last updated
01/17/2025
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