Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 9600381 | NC |
NPI | 1003958620 |
---|---|
Provider Name | Everett L Perry |
First Address | Asheville, NC 28803-3131 |
Second Address | Asheville, NC 28803-3131 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
891283X | (05) | NC |