Individual
JUSTIN PERDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(157) 013-3046
Mailing address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
LL87663
SC
Other
Enumeration date
03/30/2022
Last updated
07/08/2022
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