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Mrs. Amy Marie Perry

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NPI Number Detailed Information

Provider Information:

Name: Mrs. Amy Marie Perry
Gender: F
Provider License Number If Given: APN1842

NPI Information:

NPI: 1760485957
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 8/25/2020

Provider Business Mailing Address:

Address: 109 BEE ST
Charleston, SC 29401
Phone Number: 8435775011
Fax Number:

Provider Business Practice Location Address:

Address: 109 BEE ST
Charleston, SC 29401
Phone Number: 8435775011
Fax Number:

Provider Taxonomy:

Primary: 363LA2200X
Secondary (if any): 363LF0000X
State: SC

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