# CHARLES G. PERKINS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peninsula Neurology Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114232592
- **Authorized official:** CHARLES G PERKINS MD (OWNER)
- **Authorized official phone:** (907) 262-6557

## Contact information

- **Practice address:** 167 WAREHOUSE AVE, SUITE C, SOLDOTNA, AK 99669
- **Practice address phone:** (907) 262-6557
- **Practice address fax:** (907) 262-6559
- **Mailing address:** 167 WAREHOUSE AVE, SUITE C, SOLDOTNA, AK 99669
- **Mailing address phone:** (907) 262-6557
- **Mailing address fax:** (907) 262-6559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 2407 | AK | Yes |

## Other

- **Enumeration date:** 08/10/2010
- **Last updated:** 09/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | M2407 | — | AK |
