Individual
NICHOLAS PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 321-9606
Mailing address
28B CROSSWINDS RD, PHENIX CITY, AL 36869-7416
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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