Purvis, Henry Kevin

Purvis, Henry Kevin is an individual health care provider with primary practice located at 658 Northside Dr E Ste A, Statesboro GA 30458-4828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Purvis, Henry Kevin can be contacted via phone (912) 764-9684.

Contact Information

Primary practice address
658 Northside Dr E Ste A Statesboro GA 30458-4828
Phone: (912) 764-9684
Fax: (912) 489-8676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 048703 Georgia

Profile Details

NPI number 1780687954
LBN Legal business name Purvis, Henry Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Sep 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780687954 NPPES
Georgia Other 342225 WELLCARE
Georgia MEDICAID 00868645A WELLCARE
Georgia Other 10062308 WELLCARE

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