Healthcare Provider Details

I. General information

NPI: 1891176301
Provider Name (Legal Business Name): NUMA P PEREZ JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 N DRUID HILLS RD NE
ATLANTA GA
30329-3117
US

IV. Provider business mailing address

5461 MERIDIAN MARK RD STE 570
SANDY SPRINGS GA
30342-2807
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-5437
  • Fax:
Mailing address:
  • Phone: 404-785-6895
  • Fax: 404-785-6896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number103796
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: