Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD042162 | TN |
NPI | 1043343692 |
---|---|
Provider Name | Mr. Thomas C Perry JR. |
First Address | Manchester, NH 03103-7404 |
Second Address | Manchester, NH 03103-7404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 13/04/2021 |