Individual
DR. COURTNEY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120-2129
(678) 928-9759
(678) 928-9759
Mailing address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6000
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
055147
GA
2085R0202X
Diagnostic Radiology Physician
055147
GA
2085R0202X
Diagnostic Radiology Physician
Primary
MD61591757
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185058155
—
GA
01
—
GRP1205
GROUP MEDICARE ID
GA
Enumeration date
05/30/2006
Last updated
09/11/2025
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