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Individual

DR. JOAN S. PERLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(770) 688-3804
(770) 237-6148
Mailing address
P.O. BOX 465117, LAWRENCEVILLE, GA 30042-5117
(770) 688-3804
(770) 237-6148

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
024854
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000336047H
GA
05
000336047I
GA
05
00336047A
GA
Enumeration date
07/17/2006
Last updated
04/12/2010
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