Organization
PERRY FAMILY MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY S HAROLD MD (OWNER)
(478) 987-2212
Entity
Organization
Contact information
Practice address
938 CARROLL ST, PERRY, GA 31069-3314
(478) 987-2212
(478) 988-1300
Mailing address
938 CARROLL ST, SUITE 100, PERRY, GA 31069-3314
(478) 987-2212
(478) 988-1300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022774
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4809
MEDICARE GROUP #
GA
01
—
DA4451
MEDICARE RAILROAD GROUP #
GA
Enumeration date
08/10/2006
Last updated
04/13/2009
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