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1780204701
ETHAN EMORY PERKINS
COVINGTON, GA
NPI
1780204701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: GA RN280873)
Enumeration Date
2020-04-20
Last Update Date
2022-02-02
Business Address
ETHAN EMORY PERKINS AGACNP-BC
4142 MILL ST NE
COVINGTON, GA 30014-2540
Phone number: 770-787-3550
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Mailing Address
ETHAN EMORY PERKINS AGACNP-BC
4142 MILL ST NE
COVINGTON, GA 30014-2540
Phone number: 770-787-3550
Copy
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