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Individual
JOHN THEODORE PERRY III
Active
Individual
JOHN THEODORE PERRY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
027421
GA
208600000X
Surgery Physician
027421
GA
2086S0129X
Vascular Surgery Physician
Primary
027241
GA
Other
Enumeration date
10/18/2006
Last updated
03/11/2019
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