Perry, Amy Gourley

Perry, Amy Gourley is an individual health care provider with primary practice located at 712 Grove Rd , Greenville SC 29605-4211. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Perry, Amy Gourley can be contacted via phone (864) 522-1400.

Contact Information

Primary practice address
712 Grove Rd Greenville SC 29605-4211
Phone: (864) 522-1400
Fax: (864) 522-1429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 3925 South Carolina

Profile Details

NPI number 1588895353
LBN Legal business name Perry, Amy Gourley
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2009
Last updated Jun 19th, 2013 - about 11 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 1588895353 NPPES
South Carolina MEDICAID NP1488
South Carolina Other P00927773

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