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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 |
