Basic Information
| Provider Information | |||||||||
| NPI: | 1093936387 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PURDIE | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | BRIAN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 933213 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 311933213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9123502155 | ||||||||
| FaxNumber: | 9123502156 | ||||||||
| Practice Location | |||||||||
| Address1: | 4700 WATERS AVE | ||||||||
| Address2: | |||||||||
| City: | SAVANNAH | ||||||||
| State: | GA | ||||||||
| PostalCode: | 314046220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9123502155 | ||||||||
| FaxNumber: | 9123502156 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2007 | ||||||||
| LastUpdateDate: | 05/08/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 057912 | GA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 057912 | GA | N | Allopathic & Osteopathic Physicians | Hospitalist | 207L00000X | 057912 | GA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.