Individual
CONCHETTA PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1711 BUENA VISTA ROAD SUITE #2, COLUMBUS, GA 31906
(706) 641-2151
(706) 641-2171
Mailing address
1711 BUENA VISTA ROAD SUITE #2, COLUMBUS, GA 31906
(706) 641-2151
(706) 641-2171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN212280
GA
Other
Enumeration date
12/13/2015
Last updated
12/15/2017
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