Perry, Douglas Adam

Perry, Douglas Adam is an individual health care provider with primary practice located at 89 Interchange Dr , Richmond Hill GA 31324-7661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Perry, Douglas Adam can be contacted via phone (912) 527-5301.

Contact Information

Primary practice address
89 Interchange Dr Richmond Hill GA 31324-7661
Phone: (912) 527-5301
Fax: (912) 756-4740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 040753 Georgia

Profile Details

NPI number 1306844121
LBN Legal business name Perry, Douglas Adam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Feb 10th, 2015 - about 9 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 1306844121 NPPES
South Carolina MEDICAID G40753
South Carolina MEDICAID 000742783A
South Carolina Other 650896

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