Individual
DR. MATTHEW LANE PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
741 PRESIDENT PL, SUITE 200, SMYRNA, TN 37167-6807
(615) 459-7104
(615) 459-7822
Mailing address
741 PRESIDENT PL, SUITE 200, SMYRNA, TN 37167-6807
(615) 459-7104
(615) 459-7822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30523
TN
208000000X
Pediatrics Physician
30523
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3832117
—
TN
Enumeration date
10/11/2005
Last updated
12/04/2012
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