Provider Demographics
NPI:1316580707
Name:PERKINS, ALETHA MAE
Entity Type:Individual
Prefix:MRS
First Name:ALETHA
Middle Name:MAE
Last Name:PERKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 HONEYSUCKLE LANE
Mailing Address - Street 2:
Mailing Address - City:ST. STEPHEN
Mailing Address - State:SC
Mailing Address - Zip Code:29479
Mailing Address - Country:US
Mailing Address - Phone:843-567-4343
Mailing Address - Fax:
Practice Address - Street 1:410 HONEYSUCKLE LANE
Practice Address - Street 2:
Practice Address - City:ST. STEPHEN
Practice Address - State:SC
Practice Address - Zip Code:29479
Practice Address - Country:US
Practice Address - Phone:843-567-4343
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-18
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider