Individual
DR. CHARLES STEPHEN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 N MAIN ST, GREENEVILLE, TN 37745-3815
(423) 787-6050
(423) 787-6054
Mailing address
1675 E ALLENS BRIDGE RD, GREENEVILLE, TN 37743-5565
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD36854
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3496837
—
TN
05
—
64058795
—
KY
Enumeration date
07/07/2006
Last updated
09/16/2020
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