Provider Demographics
NPI:1649165291
Name:DANIEL PERRY LLC
Entity type:Organization
Organization Name:DANIEL PERRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-719-1665
Mailing Address - Street 1:114 KINGS CT
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-6261
Mailing Address - Country:US
Mailing Address - Phone:404-716-1665
Mailing Address - Fax:912-733-7472
Practice Address - Street 1:315 COMMERCIAL DR STE D6
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3645
Practice Address - Country:US
Practice Address - Phone:912-513-2888
Practice Address - Fax:912-733-7473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health