Individual
PERRY R HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
775 SUNSET DR, ATHENS, GA 30606
(706) 425-1500
Mailing address
PO BOX 597, WATKINSVILLE, GA 30677-0015
(781) 389-3628
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
028997
GA
207Q00000X
Family Medicine Physician
058279
MA
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
028997
GA
208M00000X
Hospitalist Physician
028997
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3025161
—
MA
Enumeration date
05/12/2006
Last updated
02/26/2020
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