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NPI Code Detail

MEDICARE: CANDACE L PERRY MD

MEDICARE:   CANDACE L PERRY  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
12084P0800XPsychiatry Physician46644TN
22084P0800XPsychiatry Physician20970MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841359221
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDACE L PERRY MD
Provider Business Mailing Address
First Line : 48 MEDICAL PARK DR E STE 159
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35235-3462
Country : US
Telephone Number : 205-838-3349
Fax Number :
Provider Business Practice Location Address
First Line : 48 MEDICAL PARK DR E STE 159
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35235-3462
Country : US
Telephone Number : 205-838-3349
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 04/16/2026

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Directions to “ CANDACE L PERRY MD” Practice Location

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