Individual
TERESA GISH PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MEDICAL CENTER BOULEVARD, WINSTON SALEM, NC 27157
(650) 868-3618
Mailing address
1901 ROBINHOOD RD, WINSTON SALEM, NC 27104-2201
(650) 868-3618
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
001007838
NC
363A00000X
Physician Assistant
16684
CA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
08/23/2011
Last updated
03/17/2018
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