Perez, Courtney

Perez, Courtney is an individual health care provider with primary practice located at 960 Joe Frank Harris Pkwy Se , Cartersville GA 30120-2129. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Perez, Courtney can be contacted via phone (678) 928-9759.

Contact Information

Primary practice address
960 Joe Frank Harris Pkwy Se Cartersville GA 30120-2129
Phone: (678) 928-9759
Fax: (678) 928-9759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 055147 Georgia
Other Service Providers / Specialist 174400000X 055147 Georgia

Profile Details

NPI number 1447207782
LBN Legal business name Perez, Courtney
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jan 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447207782 NPPES
Georgia MEDICAID 185058155
Georgia Other GRP1205

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