Most Relevant Information
Provider Data
| NPI Number: | 1003666561 |
| Provider Name: | TONYIA PURDY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/26/2024 |
| Last Updated: | 03/26/2024 |
Provider Practice Location
4803 BLANCHARD WAY
CHARLOTTE
NC
282260505
Practice Location Phone/Fax
| Phone: | 5614275048 |
| Fax: |
Provider Mailing Location
4803 BLANCHARD WAY
CHARLOTTE
NC
282260505
Provider Mailing Phone/Fax
| Phone: | 5614275048 |
| Fax: |