MICHAEL J PERILLO

COLUMBIA, SC
NPI1740239755
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  882)
Enumeration Date2006-05-08
Last Update Date2008-10-15
Business Address
Mr. MICHAEL J PERILLO CRNA
21 STONEBRIAR RD
COLUMBIA, SC 29212-8531
Phone number: 803-407-5266
Mailing Address
Mr. MICHAEL J PERILLO CRNA
PO BOX 1637
IRMO, SC 29063-1637
Phone number: 803-407-5266