Individual
DR. TIMOTHY PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
502 DIXIE ST, SPARTA, GA 31087-1472
(919) 593-5443
Mailing address
502 DIXIE ST, SPARTA, GA 31087-1472
(919) 593-5443
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003879
GA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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