Individual
STEWARD ANTONIO PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 S WALNUT BEND RD, 10, CORDOVA, TN 38018-7283
(901) 842-1770
Mailing address
320 S WALNUT BEND RD, 10, CORDOVA, TN 38018-7283
(901) 842-1770
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017979
—
TN
Enumeration date
02/18/2016
Last updated
02/18/2016
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