Individual
SUSAN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
9 WILLOW BEND DR, HATTIESBURG, MS 39402-8552
(601) 296-2552
(601) 296-2554
Mailing address
2490 PASS RD, BILOXI, MS 39531-2838
(228) 385-3774
(228) 385-3776
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R868142
MS
Other
Enumeration date
12/12/2008
Last updated
11/24/2010
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