| Mr Justin Michael Perry, | |
|
1802 6th Ave S, Birmingham, AL 35233 | |
| (205) 381-2558 | |
| Not Available |
| Full Name | Mr Justin Michael Perry |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 1802 6th Ave S, Birmingham, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649812462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 1-161966 (Alabama) | Primary |
| Entity Name | Cahaba Dermatology & Skin Health Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619213204 PECOS PAC ID: 5193979839 Enrollment ID: O20130206000233 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin Michael Perry, 1802 6th Ave S, Birmingham, AL 35233 Ph: (205) 381-2558 | Mr Justin Michael Perry, 1802 6th Ave S, Birmingham, AL 35233 Ph: (205) 381-2558 |
Madison Thomas Hulker, WHNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1700 6th Ave S, Birmingham, AL 35233 Phone: 205-934-3411 | |
Shannon Marie Harrison, BSN, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 619 19th St S, Birmingham, AL 35233 Phone: 205-934-6050 | |
Mrs. Leah York Richardson, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 619 19th St S, Birmingham, AL 35249 Phone: 205-242-8734 | |
Tyler Bishop, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1802 6th Ave S, Birmingham, AL 35233 Phone: 256-490-6381 | |
Emily Karanja, CRNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 50 Medical Park Dr E, Birmingham, AL 35235 Phone: 205-838-3245 | |
Latasha Davis, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 615 18th St S, Birmingham, AL 35233 Phone: 205-996-3050 | |
Anna Glyn Wall, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2452 Ridgemont Dr, Birmingham, AL 35244 Phone: 205-432-8196 |