| Perry Primary Care | |
|
209 Wes Park Drive Perry GA 31069-2948 | |
| (478) 987-2578 | |
| (478) 987-2598 |
| Full Name | Perry Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 209 Wes Park Drive, Perry, Georgia |
| Authorized Official Name and Position | Karunaker R. Sripathi (OWNER) |
| Authorized Official Contact | 4789872578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry Primary Care 209 Wes Park Drive Perry GA 31069-2948 Ph: (478) 987-2578 | Perry Primary Care 209 Wes Park Drive Perry GA 31069-2948 Ph: (478) 987-2578 |
| NPI Number | 1083727580 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083727580 | NPI | - | NPPES |
| 000771251D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 044110 (Georgia) | Primary |
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