Individual
DR. PERRY VINCENT NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2013-00010
NC
207R00000X
Internal Medicine Physician
Primary
MD24573
OR
208M00000X
Hospitalist Physician
MD24573
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609803774
—
NC
05
—
278100
—
OR
05
—
NC2126
—
SC
Enumeration date
06/26/2006
Last updated
07/17/2023
Update your record
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