Individual
DR. PERRY PHILEMON LITTLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
827 N HAIRSTON RD, SUITE C, STONE MOUNTAIN, GA 30083-3441
(404) 299-0039
(404) 299-3969
Mailing address
827 N HAIRSTON RD, SUITE C, STONE MOUNTAIN, GA 30083-3441
(404) 299-0039
(404) 299-3969
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHIRO04999
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00810213A
—
GA
Enumeration date
10/25/2006
Last updated
07/08/2007
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