| NPI | 1285629782 |
|---|---|
| Former Legal Business Name | IVAN C. PEREZ, M.D. |
| Entity Type | Organization |
| Authorized Contact | IVAN COSME PEREZ President 423-587-2596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2008-03-19 |