Perkins, Gwendolyn Myrtis
Perkins, Gwendolyn Myrtis is an sole proprietor health care provider with primary practice located at 1111 Circle Dr , Monroe NC 28112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Perkins, Gwendolyn Myrtis can be contacted via phone (704) 289-8537.Contact Information
Primary practice address
1111 Circle Dr
Monroe NC 28112
Phone: (704) 289-8537
Fax: (704) 283-4602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24488 | North Carolina |
Profile Details
| NPI number | 1326000969 |
|---|---|
| LBN Legal business name | Perkins, Gwendolyn Myrtis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Oct 26th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326000969 | NPPES |
| North Carolina | MEDICAID | 7966809 | |
| North Carolina | MEDICAID | N24488 | |
| North Carolina | Other | 080120357 | |
| North Carolina | Other | 66809 |
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