Edward Sanford Purvis Ii, MD | |
2232 Wilborn Avenue, Physicians Pavilion, South Boston, VA 24592-2936 | |
(434) 517-0233 | |
Not Available |
Full Name | Edward Sanford Purvis Ii |
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Gender | Male |
Speciality | Surgery |
Location | 2232 Wilborn Avenue, South Boston, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811996648 | NPI | - | NPPES |
007313501 | Medicaid | VA | |
104303 | Other | VA | OPTIMA |
462169 | Other | VA | ANTHEM BC BS |
P00038731 | Other | VA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0101053990 (Virginia) | Primary |
Entity Name | Dominion Health Medical Assoc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255771770 PECOS PAC ID: 1254311558 Enrollment ID: O20041206000840 |
Mailing Address | Practice Location Address |
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Edward Sanford Purvis Ii, MD Po Box 860, South Boston, VA 24592-0860 Ph: (434) 517-3590 | Edward Sanford Purvis Ii, MD 2232 Wilborn Avenue, Physicians Pavilion, South Boston, VA 24592-2936 Ph: (434) 517-0233 |
Yaning Zhang, MD Surgery Medicare: Medicare Enrolled Practice Location: 2232 Wilborn Ave Ste C, South Boston, VA 24592 Phone: 434-517-3100 | |
William Allen Fuller Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2212 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8921 Fax: 434-572-2063 | |
Gurnam S Bajwa, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2206a Wilborn Ave, South Boston, VA 24592 Phone: 434-572-2744 Fax: 434-572-2785 | |
Nicole Faye Yeshtokin, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 22232 Wilborn Ave Ste C, South Boston, VA 24592 Phone: 434-517-3910 Fax: 434-517-3912 | |
Lovetta Pugh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2232 Wilborn Ave, South Boston, VA 24592 Phone: 434-572-8921 Fax: 434-572-2063 |