Individual
MR. JUSTIN MICHAEL PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233
(205) 381-2558
Mailing address
1802 6TH AVE S, BIRMINGHAM, AL 35233
(205) 381-2558
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-161966
AL
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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