Provider Demographics
NPI:1851449524
Name:FLYNN, PERRY F (MED)
Entity Type:Individual
Prefix:MR
First Name:PERRY
Middle Name:F
Last Name:FLYNN
Suffix:
Gender:M
Credentials:MED
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Mailing Address - Street 1:300 FERGUSON BLD
Mailing Address - Street 2:UNIVERSITY OF NORTH CAROLINA GREENSBORO
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27402-6170
Mailing Address - Country:US
Mailing Address - Phone:336-256-2005
Mailing Address - Fax:336-334-4475
Practice Address - Street 1:300 FERGUSON BLD
Practice Address - Street 2:UNIVERSITY OF NORTH CAROLINA GREENSBORO
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27402-6170
Practice Address - Country:US
Practice Address - Phone:336-256-2005
Practice Address - Fax:336-334-4475
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2233235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist