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Individual

NEVILLE G PEREYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
210 VILLAGE CENTER PKWY, STOCKBRIDGE, GA 30281-9044
(770) 474-5952
(770) 474-1300
Mailing address
210 VILLAGE CENTER PKWY, STOCKBRIDGE, GA 30281-9044
(770) 474-5952
(770) 474-1300

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036429
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
596060
BLUE CROSS BLUE SHIELD GA
GA
01
G31129
COVENTRY
GA
Enumeration date
06/21/2005
Last updated
04/24/2026
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