Individual
AMY GOURLEY PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
712 GROVE RD, GREENVILLE, SC 29605-4211
(864) 522-1400
(864) 522-1429
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3925
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1488
—
SC
01
—
P00927773
RAILROAD MEDICARE
SC
Enumeration date
07/28/2009
Last updated
06/19/2013
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