Individual
DR. JOHN CHRISTOPHER PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 LUKE ST, STE D, EDENTON, NC 27932-9680
(252) 482-6522
Mailing address
701 LUKE ST STE D, EDENTON, NC 27932-9680
(252) 482-6522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26142
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26142
STATE LICENSE
NC
01
—
66982
BCBS
NC
05
—
8966982
—
NC
Enumeration date
06/30/2005
Last updated
03/07/2023
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