Healthcare Provider Details
I. General information
NPI: 1528994654
Provider Name (Legal Business Name): THE PURCELL CLINIC, PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
418 S KING ST
LAURINBURG NC
28352-3704
US
IV. Provider business mailing address
418 S KING ST
LAURINBURG NC
28352-3704
US
V. Phone/Fax
- Phone: 910-276-7570
- Fax:
- Phone: 910-276-7570
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
THARON
CURRIN
HOWARD
Title or Position: MEDICAL DIRECOTR
Credential: MD
Phone: 910-276-7570