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Individual

JOHN BENJAMIN PURVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2430 EMERALD PL STE 103, GREENVILLE, NC 27834-5743
(252) 916-2133
Mailing address
2430 EMERALD PL STE 103, GREENVILLE, NC 27834-5743
(252) 752-2140

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
280519
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6889
NC
390200000X
Student in an Organized Health Care Education/Training Program
280519
NC

Other

Enumeration date
07/22/2021
Last updated
06/07/2022
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