Individual
WILLIAM DOUGLAS PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 PARK ST, WALNUT GROVE, MS 39189-6526
(601) 267-1406
(601) 267-5422
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
(901) 227-3255
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12146
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115309
—
MS
Enumeration date
12/30/2005
Last updated
03/07/2018
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