Perry, Leslie David

Perry, Leslie David is an sole proprietor health care provider with primary practice located at 4700 Woodmere Blvd. , Montgomery AL 36106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Perry, Leslie David can be contacted via phone (334) 273-9700.

Contact Information

Primary practice address
4700 Woodmere Blvd. Montgomery AL 36106
Phone: (334) 273-9700
Fax: (334) 273-9788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MO29166 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19198 Alabama

Profile Details

NPI number 1699769083
LBN Legal business name Perry, Leslie David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2005
Last updated Nov 20th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699769083 NPPES
Tennessee Other 4095192 BCBS
Tennessee MEDICAID Q007873 BCBS

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