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:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 E CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:BOWMAN
Mailing Address - State:GA
Mailing Address - Zip Code:30624-2109
Mailing Address - Country:US
Mailing Address - Phone:706-245-7361
Mailing Address - Fax:
Practice Address - Street 1:206 E CHURCH ST
Practice Address - Street 2:
Practice Address - City:BOWMAN
Practice Address - State:GA
Practice Address - Zip Code:30624-2109
Practice Address - Country:US
Practice Address - Phone:706-245-7361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-12
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA86216207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine