Individual
DR. GWENDOLYN MYRTIS PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 CIRCLE DR, MONROE, NC 28112
(704) 289-8537
(704) 283-4602
Mailing address
PO BOX 192, WADESBORO, NC 28170-0192
(704) 694-6700
(704) 694-5454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24488
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080120357
RAILROAD MEDICARE
—
01
—
66809
BCBS NC
NC
05
—
7966809
—
NC
05
—
N24488
—
SC
Enumeration date
04/06/2006
Last updated
10/26/2015
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