| Organization Name: | HEART GROUP OF THE EASTERN SHORE, P.C. |
| NPI Number: | 1609095157 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL S PURSLEY (PRESIDENT/OWNER) |
| Mailing Address: | 150 S. Ingleside Street #4 Medical Park Fairhope |
| State: | AL US |
| Postal Code: | 365321804 |
| Phone Number: | 2519901920 |
| Fax Number: | 2519901921 |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 12/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 25610 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |