CANDICE STAPLETON PURVIS

VIDALIA, GA
NPI1891132817
Former NameCANDICE GRACE STAPLETON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  006802)
Enumeration Date2013-05-30
Last Update Date2019-05-20
Business Address
Mrs. CANDICE STAPLETON PURVIS PA-C
303 HARRIS INDUSTRIAL BLVD STE 3
VIDALIA, GA 30474-8854
Phone number: 912-537-9355
Mailing Address
Mrs. CANDICE STAPLETON PURVIS PA-C
303 HARRIS INDUSTRIAL BLVD STE 3
VIDALIA, GA 30474-8854
Phone number: