Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 44699 | TN |
N | 2080P0201X | Pediatric Allergist | 000510 | GA |
NPI | 1225252125 |
---|---|
Provider Name | Dr. Lee Michael Perry |
First Address | Chattanooga, TN 37421-2423 |
Second Address | Chattanooga, TN 37421-2423 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 23/04/2020 |