Individual
BARBARA GENNICE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12300 CHENAL PKWY, LITTLE ROCK, AR 72211-2724
(501) 225-6054
(501) 225-6067
Mailing address
12300 CHENAL PKWY, LITTLE ROCK, AR 72211-2724
(501) 225-6054
(501) 225-6067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E3929
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154228001
—
AR
01
—
5M793
MEDICARE
AR
01
—
I02798
UPIN
AR
Enumeration date
04/25/2006
Last updated
02/29/2016
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