Individual
PERRY BLAKE MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PO BOX 2959, ASHEVILLE, NC 28802-2959
(828) 693-0258
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101260924
VA
2085R0202X
Diagnostic Radiology Physician
Primary
2019-02802
NC
Other
Enumeration date
03/24/2014
Last updated
12/27/2024
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