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Organization

MELVIN G PERRY JR MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MELVIN PERRY MD (OWNER)
(770) 745-3491
Entity
Organization

Contact information

Practice address
1216 HERITAGE LAKES DR SW, MABLETON, GA 30126-1248
(770) 745-3491
(770) 745-3491
Mailing address
PO BOX 1339, MABLETON, GA 30126-1005
(770) 745-3491
(770) 745-3491

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2080N0001X
Neonatal-Perinatal Medicine Physician
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
364SP0200X
Pediatric Clinical Nurse Specialist

Other

Enumeration date
01/04/2010
Last updated
01/04/2010
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