Provider Demographics
NPI:1083148423
Name:PURSER, STEPHEN AARON (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:AARON
Last Name:PURSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 751649
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1649
Mailing Address - Country:US
Mailing Address - Phone:888-472-0043
Mailing Address - Fax:843-724-2440
Practice Address - Street 1:16 WINDERMERE BLVD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7412
Practice Address - Country:US
Practice Address - Phone:843-766-9053
Practice Address - Fax:843-766-8853
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-12
Last Update Date:2024-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC51162207Q00000X
GA86216207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine