Individual
ELIJAH PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
899 W 6TH AVENUE B, GASTONIA, NC 28052-2917
(404) 804-0903
Mailing address
5001 TWO NOTCH RD, COLUMBIA, SC 29204-3240
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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