| Perry MD Medical LLC | |
|
1300 Peachtree Industrial Blvd Ste 4103 Suwanee GA 30024-4543 | |
| (678) 677-5973 | |
| (770) 831-5527 |
| Full Name | Perry MD Medical LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 Peachtree Industrial Blvd Ste 4103, Suwanee, Georgia |
| Authorized Official Name and Position | Ronald E Perry (CEO) |
| Authorized Official Contact | 7708315525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry MD Medical LLC 1300 Peachtree Industrial Blvd Ste 4103 Suwanee GA 30024-4543 Ph: (678) 677-5973 | Perry MD Medical LLC 1300 Peachtree Industrial Blvd Ste 4103 Suwanee GA 30024-4543 Ph: (678) 677-5973 |
| NPI Number | 1558177410 |
|---|---|
| Provider Enumeration Date | 12/05/2024 |
| Last Update Date | 07/25/2025 |
| Certification Date | 07/25/2025 |
| Medicare PECOS PAC ID | 4082112271 |
|---|---|
| Medicare Enrollment ID | O20250807001790 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558177410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Martin a Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144334798 PECOS PAC ID: 7214998731 Enrollment ID: I20041019000791 |
| Provider Name | Ronald Edward Perry |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1932123015 PECOS PAC ID: 0840245965 Enrollment ID: I20080206000113 |
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