Perdue, George Kevin

Perdue, George Kevin is an individual health care provider with primary practice located at 1240 Eagles Landing Pkwy Suite 300, Stockbridge GA 30281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Perdue, George Kevin can be contacted via phone (770) 506-4350.

Contact Information

Primary practice address
1240 Eagles Landing Pkwy Suite 300 Stockbridge GA 30281
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 050244 Georgia

Profile Details

NPI number 1255331674
LBN Legal business name Perdue, George Kevin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Nov 14th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255331674 NPPES
Georgia MEDICAID 000911061E
Georgia MEDICAID 000911061F
Georgia Other P00072861

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