Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RR0500X | Rheumatology | 058119 | GA |
Y | 207RR0500X | Rheumatology | 201301579 | NC |
N | 207RR0500X | Rheumatology | MD023805E | PA |
NPI | 1023073376 |
---|---|
Provider Name | Dr. James L. Perruquet |
First Address | New Bern, NC 28561-2248 |
Second Address | New Bern, NC 28562-5238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 15/04/2014 |