Individual
DENISE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
80 PURPLETOP DR, GRAYSON, GA 30017-4169
(770) 882-5527
Mailing address
80 PURPLETOP DR, GRAYSON, GA 30017-4169
(770) 882-5527
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN054725
GA
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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