Most Relevant Information
Provider Data
| NPI Number: | 1003267048 |
| Provider Name: | SHAMEKA PERRY |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | I.1801020 |
Most Important Dates
| Enumeration Date: | 06/30/2016 |
| Last Updated: | 11/18/2019 |
Provider Practice Location
5502 DIXIE HWY
FAIRFIELD
OH
450144297
Practice Location Phone/Fax
| Phone: | 5138749460 |
| Fax: | 5138745731 |
Provider Mailing Location
PEDIATRIC ASSOCIATES OF FAIRFIELD, INC
5502 DIXIE HIGHWAY
FAIRFIELD
OH
450144297
Provider Mailing Phone/Fax
| Phone: | 5138749460 |
| Fax: | 5138745731 |