Individual
DR. ZACK T. PERDUE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0101038376
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008964000
WV MEDICAID
VA
01
—
1000870001
DME PROVIDER
VA
01
—
1790741189
OPTIMA
VA
05
—
1790741189
—
VA
01
—
330262
ANTHEM
VA
01
—
702826
SOUTHERN HEALTH
VA
01
—
7500281
CIGNA
VA
Enumeration date
04/25/2006
Last updated
04/04/2017
Update your record
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