Individual
MRS. MARY DEASON PERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2700 N OAK ST BLDG B, VALDOSTA, GA 31602-5903
(229) 249-8687
Mailing address
611 KENWOOD DR, WAYCROSS, GA 31501-6903
(404) 272-9146
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN203206
GA
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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