Individual
DR. THOMAS BUSH PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
105 MARTIN LUTHER KING JR DR, FORSYTH, GA 31029-1698
(478) 994-2988
Mailing address
105 MARTIN LUTHER KING JR DR, P.O. BOX 637, FORSYTH, GA 31029-1698
(478) 994-2988
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT000745
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000004463A
—
GA
Enumeration date
03/24/2006
Last updated
07/08/2007
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