Perry, Terilyn Cassandra
Perry, Terilyn Cassandra is an sole proprietor health care provider with primary practice located at 3655 Gurley Dr Ste B , Columbus GA 31904-6886. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Perry, Terilyn Cassandra can be contacted via phone (706) 660-1200.Contact Information
Primary practice address
3655 Gurley Dr Ste B
Columbus GA 31904-6886
Phone: (706) 660-1200
Fax: (706) 660-0060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35974 | Georgia |
Profile Details
| NPI number | 1700868221 |
|---|---|
| LBN Legal business name | Perry, Terilyn Cassandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Dec 18th, 2020 - about 4 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 | 1700868221 | NPPES |
| Georgia | MEDICAID | 000511684A |
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