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Individual

DR. MARTHA FAIRBANKS PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
PO BOX 744785, ATLANTA, GA 30374-4785

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2012-02341
NC
208000000X
Pediatrics Physician
224904
MA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
210012313
DC
2080A0000X
Pediatric Adolescent Medicine Physician
224904
MA

Other

Enumeration date
04/05/2006
Last updated
10/10/2023
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