Individual
JOHN KILLEBREW PERRY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 RIVER OAKS DRIVE, MADISON RIVER OAKS MEDICAL CENTER, CANTON, MS 39046
(601) 855-4000
Mailing address
PO BOX 9557, COLUMBUS, MS 39705-0020
(601) 855-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12873
MS
207L00000X
Anesthesiology Physician
K8815
TX
207L00000X
Anesthesiology Physician
MD-067671-L
PA
Other
Enumeration date
03/19/2009
Last updated
04/20/2016
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