Individual
PERRY DAVID MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 FRIAR TUCK AVE, WARNER ROBINS, GA 31088-5403
(478) 922-6374
Mailing address
107 FRIAR TUCK AVE, WARNER ROBINS, GA 31088-5403
(478) 922-6374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
014076
GA
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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