Perdue, Georgia Lynne
Perdue, Georgia Lynne is an sole proprietor health care provider with primary practice located at 105 Time Sq , Salisbury MD 21801-2808. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Perdue, Georgia Lynne can be contacted via phone (410) 548-2343.Contact Information
Primary practice address
105 Time Sq
Salisbury MD 21801-2808
Phone: (410) 548-2343
Fax: (844) 332-3891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R119543 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R119543 | Maryland |
Profile Details
| NPI number | 1548239643 |
|---|---|
| LBN Legal business name | Perdue, Georgia Lynne |
| Credentials | DNP, CRNP-F |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jan 5th, 2024 - about 11 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548239643 | NPPES |
| Maryland | MEDICAID | 412302600 |
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