Individual
JOHN THEODORE PERRY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
711 CANTON RD NE STE 220, MARIETTA, GA 30060-8949
(404) 554-2196
(404) 554-2415
Mailing address
9140 CORSEA DEL FONTANA WAY, NAPLES, FL 34109-4397
(404) 554-2196
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
027421
GA
208600000X
Surgery Physician
027421
GA
2086S0129X
Vascular Surgery Physician
Primary
027241
GA
Other
Enumeration date
10/18/2006
Last updated
03/11/2019
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