Virginia King Purdom M.D.

NPI 1720214489 - Family Medicine - 207Q00000X

NPI Details
NPI 1720214489
Gender Female
Enumeration Date 06/08/2009
Last Updated 06/14/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
325 W WALNUT ST
SUITE 600
LEBANON KY, 40033-1377, US
Phone (270) 699-9500
Fax (270) 699-9550
Business Location
325 W WALNUT ST
SUITE 600
LEBANON KY, 40033-1377, US
Phone (270) 699-9500
Fax (270) 699-9550
Toxanomy
Taxonomy Code 207Q00000X
License State South Carolina
License Number 31728
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According to our database, Dr. Virginia King Purdom M.D. NPI is 1720214489, taxonomy code is 207Q00000X and license number is 31728, license state is located at South Carolina. Virginia King Purdom M.D. physically located at 325 W Walnut St, Lebanon KY, 40033-1377. NPI Number Virginia King Purdom M.D. has the Individual type.

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1720214489 NPI number is provided on an as is basis without warranty of any kind. 1720214489 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia King Purdom M.D. are for informational purposes only.