Individual
MARY JANE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5583
(706) 596-5589
Mailing address
PO BOX 303, LUMPKIN, GA 31815-0303
(229) 838-9756
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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