Individual
NANCY PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
649 PARK BLVD, MARION, VA 24354-4223
(276) 783-2845
Mailing address
649 PARK BLVD, MARION, VA 24354-4223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410281
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178623
—
VA
Enumeration date
07/17/2006
Last updated
07/08/2007
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