Individual
BRENT L PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10195 BEACH DR SW # 5, CALABASH, NC 28467-2701
(910) 575-6538
(910) 575-6541
Mailing address
PO BOX 4238, CALABASH, NC 28467-9820
(910) 575-6538
(910) 575-6541
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100328
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00395334
RAILROAD MEDICARE
NC
Enumeration date
08/02/2006
Last updated
05/02/2008
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