Individual
GEORGE KEVIN PERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1240 EAGLES LANDING PKWY, SUITE 300, STOCKBRIDGE, GA 30281
(770) 506-4350
Mailing address
100 GALLERIA PKWY SE, SUITE 410, ATLANTA, GA 30339-3179
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
050244
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000911061E
—
GA
05
—
000911061F
—
GA
01
—
P00072861
RAILROAD MEDICARE
GA
Enumeration date
07/28/2005
Last updated
11/14/2013
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