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Individual

GEORGIA LYNNE PERDUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, CRNP-F

Contact information

Practice address
105 TIME SQ, SALISBURY, MD 21801-2808
(410) 548-2343
(844) 332-3891
Mailing address
PO BOX 3177, SALISBURY, MD 21802-3177
(410) 548-2343
(844) 332-3891

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R119543
MD
363LF0000X
Family Nurse Practitioner
Primary
R119543
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
412302600
MD
Enumeration date
03/14/2006
Last updated
01/05/2024
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