Individual
SCOTT PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3001 HOSPITAL DRIVE, PRINCE GEORGE'S HOSPITAL CENTER, CHEVERLY, MD 20785
(301) 618-3779
Mailing address
4108 BURRLAND RD, PORTSMOUTH, VA 23703-1908
(757) 484-3790
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0003099
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0003099
MARYLAND STATE LICENSE
MD
Enumeration date
01/26/2007
Last updated
07/08/2007
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