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PERRY ROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
309 S SHARON AMITY RD, SUITE 204, CHARLOTTE, NC 28211-2978
(704) 900-0252
(980) 636-6518
Mailing address
309 S SHARON AMITY RD, SUITE 204, CHARLOTTE, NC 28211-2978
(704) 900-0252
(980) 636-6518

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9701136
NC
208000000X
Pediatrics Physician
9701136
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8911119
NC
05
N001136
SC
Enumeration date
02/12/2006
Last updated
02/04/2015
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