Individual
ANISAA WIDYAWATI ROMANO PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2751 US-19 BUS, ANDREWS, NC 28901
(828) 321-4510
Mailing address
1021 DARRINGTON DR STE 101, CARY, NC 27513-8158
(919) 852-3999
(919) 378-9114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021-02955
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2013
Last updated
06/30/2023
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