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NPI Code Detail

MEDICARE: MR. THOMAS C PERRY JR. MD

MEDICARE: MR. THOMAS C PERRY JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology PhysicianMD042162TN
22084N0400XNeurology Physician91411SC

General Provider Information

NPI Number : 1043343692
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS C PERRY JR. MD
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8603
Fax Number :
Provider Business Practice Location Address
First Line : 200 PATEWOOD DR STE B350
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-6337
Country : US
Telephone Number : 864-454-4500
Fax Number : 864-454-4505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 05/03/2024

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