Perrine, Terry Ray
Perrine, Terry Ray is an individual health care provider with primary practice located at 1665 S Green St , Tupelo MS 38804-6556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perrine, Terry Ray can be contacted via phone (662) 377-2189.Contact Information
Primary practice address
1665 S Green St
Tupelo MS 38804-6556
Phone: (662) 377-2189
Fax: (662) 377-2263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17934 | Mississippi |
Profile Details
| NPI number | 1033157391 |
|---|---|
| LBN Legal business name | Perrine, Terry Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Mar 19th, 2012 - about 13 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 | 1033157391 | NPPES |
| Mississippi | MEDICAID | 07122075 |
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