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General NPI Number Information
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NPI Number | 1013311224
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Entity Type | Individual
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Provider Name | DRAYTON THOMAS PERKINS PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 107 CALUMET CENTER RD
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City | LAGRANGE
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State | GA
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Zip | 30241-6705
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Country | US
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Telephone | 706-884-3274
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Fax | 706-882-2940
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Provider Business Mailing Address
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Address Line | PO BOX 370
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City | FORTSON
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State | GA
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Zip | 31808-0370
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Country | US
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Telephone | 706-494-3171
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number | PT011710
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number | PTH10789
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT011710
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH10789
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License Number State | AL
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