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Individual

MARY MARKHAM PERKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4011 WOODVALLEY DR, AIKEN, SC 29803-8421
(803) 648-4360
(803) 642-5039
Mailing address
341 LONGLEAF CT, AIKEN, SC 29803-5771
(803) 648-2915

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2435
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
TH1161
SC
Enumeration date
08/11/2010
Last updated
08/11/2010
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