Perry, Alvis Tederrall
Perry, Alvis Tederrall is an sole proprietor health care provider with primary practice located at 3840 Peachtree Industrial Blvd Suite 220, Duluth GA 30096-5031. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Perry, Alvis Tederrall can be contacted via phone (770) 331-3171.Contact Information
Primary practice address
3840 Peachtree Industrial Blvd Suite 220
Duluth GA 30096-5031
Phone: (770) 331-3171
Fax: (706) 335-2257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 034921 | Georgia |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 034921 | Georgia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 14980 | Tennessee |
Profile Details
| NPI number | 1922124106 |
|---|---|
| LBN Legal business name | Perry, Alvis Tederrall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Apr 19th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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