Individual
DR. CHARLES R. PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1523 22ND AVE STE B, MERIDIAN, MS 39301-4016
(601) 703-8450
(601) 553-6308
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(773) 348-1281
(901) 227-3206
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
18829
MS
207Q00000X
Family Medicine Physician
Primary
18829
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07375770
—
MS
Enumeration date
03/09/2006
Last updated
12/30/2024
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