Healthcare Provider Details
I. General information
NPI: 1922050517
Provider Name (Legal Business Name): ALVIN THOMAS PERKINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/16/2006
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1540 SUNDAY DR
RALEIGH NC
27607-6000
US
IV. Provider business mailing address
1540 SUNDAY DR
RALEIGH NC
27607-6000
US
V. Phone/Fax
- Phone: 919-782-3456
- Fax: 919-788-8233
- Phone: 919-782-3456
- Fax: 919-788-8233
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | 9501635 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | 9501635 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: