Individual
ANGELA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
240 PEACHTREE ST, JESUP, GA 31545-0212
(912) 427-2045
(912) 427-5880
Mailing address
PO BOX 100, JESUP, GA 31598-0100
(912) 427-2045
(912) 427-5880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN058023
GA
363L00000X
Nurse Practitioner
Primary
RN058023
GA
Other
Enumeration date
07/10/2006
Last updated
01/28/2008
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