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Individual

PERRY J DEPIETRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1614 SOUTH BLVD, CHARLOTTE, NC 28203-4726
(704) 338-1268
Mailing address
720 COOL SPRINGS BLVD, SUITE 300, FRANKLIN, TN 37067-2626
(615) 778-4066
(615) 778-9114

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
200100134
NC

Other

Enumeration date
03/27/2007
Last updated
11/16/2011
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