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Individual

HENRY PEREZ

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5665 PEACHTREE DUNWOODY ROAD NE, ST JOSEPHS HOSPITAL OF ATLANTA, ATLANTA, GA 30342-1764
(404) 851-7294
(404) 851-7958
Mailing address
PO BOX 8500-1921, EMERGENCY CARE OF ATLANTA INC, PHILADELPHIA, PA 19178-1921
(800) 777-2455
(610) 617-6280

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
029990
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00144525
RAILROAD MEDICARE
GA
Enumeration date
04/05/2006
Last updated
07/08/2007
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