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Individual

DR. TIMOTHY JAY PERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
120 BENJAMIN H HILL DR W, FITZGERALD, GA 31750-8607
(229) 563-7870
(229) 244-5287
Mailing address
3856 STRATFORD CIR, VALDOSTA, GA 31605-4855
(229) 245-7227
(229) 244-5287

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
030/0000165
VT
152W00000X
Optometrist
Primary
OPT001635
GA

Other

Enumeration date
09/18/2007
Last updated
09/18/2007
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