Individual
KATHRYN H. PERRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
2225 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 391-4100
Mailing address
2225 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 391-4100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004087
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1058189
PE CERTIFICATION
GA
05
—
258438178A
—
GA
Enumeration date
03/07/2006
Last updated
03/07/2023
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