Purvis, Mark T

Purvis, Mark T is an individual health care provider with primary practice located at 1041 Balch Rd Ste 250 , Madison AL 35758-8822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Purvis, Mark T can be contacted via phone (256) 704-2229.

Contact Information

Primary practice address
1041 Balch Rd Ste 250 Madison AL 35758-8822
Fax: (256) 704-2235
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 19838 Alabama

Profile Details

NPI number 1326007725
LBN Legal business name Purvis, Mark T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 14th, 2023 - about last year

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 1326007725 NPPES
Alabama MEDICAID 000078994

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