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Dr. Jerry Gaines Purvis JR., MD
Specialist in South Bloomfield, Ohio
NPI 1386655462

Jerry Gaines Purvis JR. is a Specialist based in South Bloomfield, OH. Jerry Gaines Purvis JR. practices in South Bloomfield, OH and has the professional credentials of MD. The NPI Number for Jerry Gaines Purvis JR. is 1386655462 and holds a License No. 35-08-0726-P (Ohio).

The current practice location address for Jerry Gaines Purvis JR. is 5034 N Walnut St, South Bloomfield, OH and can be reached out via phone at 740-983-8346 and via fax at 740-983-6600.

Location: 5034 N Walnut St, South Bloomfield, OH, 43103-1018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386655462
Provider Name
Jerry Gaines Purvis JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5034 N Walnut St, South Bloomfield, OH, 43103-1018
Phone Number
740-983-8346
Fax Number
740-983-6600
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2297232 05 OH
institution
Provider Business Practice Location Address Details
Address
5034 N Walnut St
City
South Bloomfield
State
Ohio
Zip
43103-1018
Phone Number
740-983-8346
Fax Number
740-983-6600
person
Provider Business Mailing Address Details
Address
5034 N Walnut St
City
South Bloomfield
State
Ohio
Zip
43103-1018
Phone Number
740-983-8346
Fax Number
740-983-6600
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
35-08-0726-P (Ohio)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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