Individual
ALVIS TEDERRALL PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3840 PEACHTREE INDUSTRIAL BLVD, SUITE 220, DULUTH, GA 30096-5031
(770) 331-3171
(706) 335-2257
Mailing address
315 SIMS BRIDGE RD, COMMERCE, GA 30530-6868
(229) 339-4330
(706) 335-2257
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
034921
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
14980
TN
208VP0014X
Interventional Pain Medicine Physician
034921
GA
Other
Enumeration date
03/21/2007
Last updated
04/19/2016
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