Organization
PERRY MEDICAL RESOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD HENRY PERRY (PRESIDENT)
(919) 468-5859
Entity
Organization
Contact information
Practice address
1533 HERITAGE GARDEN ST, WAKE FOREST, NC 27587-4360
(919) 468-5859
(919) 468-5022
Mailing address
1533 HERITAGE GARDEN ST, WAKE FOREST, NC 27587-4360
(919) 468-5859
(919) 468-5022
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00402
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7702902
—
NC
Enumeration date
05/16/2007
Last updated
04/14/2008
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