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Individual

DR. MELVIN G PERRY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3672 MARATHON CIR STE 140, AUSTELL, GA 30106-6821
(470) 502-0202
(470) 582-9386
Mailing address
PO BOX 1339, MABLETON, GA 30126-1005
(470) 502-0202
(470) 582-9386

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
022738
LA
208000000X
Pediatrics Physician
Primary
46470
GA
2080P0203X
Pediatric Critical Care Medicine Physician
01057110A
IN
2080P0203X
Pediatric Critical Care Medicine Physician
022738
LA
2080P0203X
Pediatric Critical Care Medicine Physician
046470
GA
2080P0203X
Pediatric Critical Care Medicine Physician
2004025527
MO
2080P0203X
Pediatric Critical Care Medicine Physician
35.083485
OH
2080P0203X
Pediatric Critical Care Medicine Physician
40058
TN
2080P0203X
Pediatric Critical Care Medicine Physician
435456
PA
2080P0203X
Pediatric Critical Care Medicine Physician
49276-020
WI
2080P0203X
Pediatric Critical Care Medicine Physician
M9577
TX
2080P0203X
Pediatric Critical Care Medicine Physician
O4-30600
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000910412K
GA
05
1492574
LA
Enumeration date
06/09/2006
Last updated
10/17/2024
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