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Individual

PERRY R HEARN

Active
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Individual

PERRY R HEARN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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