Purcell, Jerry S.

Purcell, Jerry S. is an individual health care provider with primary practice located at 1208 Ella St , Anderson SC 29621-4839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Purcell, Jerry S. can be contacted via phone (864) 965-9150.

Contact Information

Primary practice address
1208 Ella St Anderson SC 29621-4839
Phone: (864) 965-9150
Fax: (864) 965-9654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21864 South Carolina

Profile Details

NPI number 1881657153
LBN Legal business name Purcell, Jerry S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Aug 7th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881657153 NPPES
South Carolina MEDICAID 218641
South Carolina MEDICAID 5901065
South Carolina MEDICAID 967617053A

Popular Providers