Provider Demographics
NPI:1912429069
Name:PERRY, DANIEL (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:PERRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:315 COMMERCIAL DR STE D6
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3645
Mailing Address - Country:US
Mailing Address - Phone:404-719-1665
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:912-733-7472
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA930002084P0800X
GA127622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA93000OtherSTATE OF GEORGIA FULL MEDICAL LICENSE