Individual
DR. JACK R PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
WALKER BAPTIST HOSPITAL, 3400 HWY 78 E, JASPER, AL 35501
(205) 387-4000
Mailing address
WALKER BAPTIST HOSPITAL, 3400 HWY 78 E, JASPER, AL 35501
(205) 387-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.138175
IL
207R00000X
Internal Medicine Physician
34733
KY
208M00000X
Hospitalist Physician
036.138175
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64347339
—
KY
01
—
P01183981
MEDICARE RAILROAD
KY
Enumeration date
07/13/2005
Last updated
03/07/2019
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