Individual
PHILIP SUTHERLAND PERDUE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
810 W H SMITH BLVD, GREENVILLE, NC 27834-3763
(252) 757-2663
(252) 317-0829
Mailing address
810 W H SMITH BLVD, GREENVILLE, NC 27834-3763
(252) 757-2663
(252) 317-0829
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9500687
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1274070001
DME MAC JURISDICTION C
—
01
—
200033974
RAILROAD MEDICARE
—
Enumeration date
09/12/2005
Last updated
04/04/2022
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