Individual
MARK PERDEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1230 KNIGHTSBRIDGE CT APT 201, CHARLOTTESVILLE, VA 22911-4649
(443) 786-3435
Mailing address
1230 KNIGHTSBRIDGE CT APT 201, CHARLOTTESVILLE, VA 22911-4649
(443) 786-3435
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002279
VA
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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