Individual
JOSEPH PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6030 W HIGHWAY 74, SUITE A, INDIAN TRAIL, NC 28079-3468
(704) 246-2777
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9701541
NC
Other
Enumeration date
03/23/2006
Last updated
11/18/2019
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