Individual
MARY PERLOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3720 DAVINCI CT, NORCROSS, GA 30092-7627
(770) 582-3976
Mailing address
3720 DAVINCI CT, NORCROSS, GA 30092-7627
(770) 582-3976
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN103565
GA
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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