Individual
MR. WESLEY EUGENE PERRY
Active
Individual
MR. WESLEY EUGENE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA0000000129
TN
363AS0400X
Surgical Physician Assistant
Primary
PA0000000129
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514417
—
TN
01
—
4029880
BCBS
TN
Enumeration date
06/01/2006
Last updated
12/10/2009
Update your record
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