Individual
DAVID L. PERLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2520 WINDY HILL RD SE, STE 305, MARIETTA, GA 30067-8653
(770) 951-0866
(770) 933-0209
Mailing address
2520 WINDY HILL RD SE, STE 305, MARIETTA, GA 30067-8653
(770) 951-0866
(770) 933-0209
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
025014
GA
208800000X
Urology Physician
Primary
25014
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00266417A
—
GA
01
—
340002346
MEDICARE RR
GA
01
—
7280346
AETNA
GA
Enumeration date
06/22/2005
Last updated
04/09/2018
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