Doctor Name: | DR. MILTON LYNN PERRY |
NPI Number: | 1447325675 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSCE, DMIN |
License Number: | APC001446 |
Business Practice Address: | 34 Oak St East Ellijay, GA - 305408151 |
Business Phone Number: | 7066365679 |
Business Fax Number: | 7066365680 |
Mailing Address: | 34 Oak St, EAST ELLIJAY |
State: | GA |
Postal Code: | 305408151 |
Phone Number: | 7066365679 |
Fax Number: | 7066365680 |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | APC001446 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |