Individual
WILLIAM WADE PEERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 TOWER BLVD, STE 406, DURHAM, NC 27707-0034
(919) 287-3303
Mailing address
PO BOX 15352, BELFAST, ME 04915-4048
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101029360
VA
208600000X
Surgery Physician
200301509
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007374755
—
VA
01
—
VAA103996
MEDICARE #
—
Enumeration date
09/11/2006
Last updated
08/04/2016
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