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Individual

DR. JOHN NICHOLAS PERRY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
520 N ELAM AVE, GREENSBORO, NC 27403-1127
(336) 547-1700
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9400972
NC
207RG0100X
Gastroenterology Physician
Primary
9400972
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
49809
MEDCOST
NC
01
5878127
AETNA
NC
01
6636
PARTNERS MEDICARE
NC
01
66960
BCBS NC
NC
05
8966960
NC
Enumeration date
04/27/2006
Last updated
09/20/2021
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