Individual
MICHELE T. PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
270 CHASTAIN RD NW, KENNESAW, GA 30144-3012
(770) 421-8005
(770) 424-5662
Mailing address
270 CHASTAIN RD NW, KENNESAW, GA 30144-3012
(770) 421-8005
(770) 424-5662
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
048326
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000955655A
—
GA
05
—
000955655E
—
GA
05
—
000955655F
—
GA
05
—
000955655G
—
GA
Enumeration date
10/04/2005
Last updated
06/29/2011
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