Individual
HOWARD J PEROFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
682 HEMLOCK ST, SUITE 230, MACON, GA 31201-6883
(478) 742-4847
(478) 742-5442
Mailing address
682 HEMLOCK ST, SUITE 230, MACON, GA 31201-6883
(478) 742-4847
(478) 742-5442
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
032452
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000410473A
—
GA
01
—
240002535
RETIRED RAILROAD MEDICARE
GA
05
—
319715
—
GA
01
—
581859020
GEORGIA BLUE SHIELD
GA
Enumeration date
08/09/2005
Last updated
12/26/2014
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