Most Relevant Information
Provider Data
| NPI Number: | 1003697103 |
| Provider Name: | COURTNAY KELLY PERRYMAN PMHNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | RN236174 |
Most Important Dates
| Enumeration Date: | 10/13/2023 |
| Last Updated: | 10/13/2023 |
Provider Practice Location
1102 SMITH AVE STE K
THOMASVILLE
GA
317925740
Practice Location Phone/Fax
| Phone: | 2292254335 |
| Fax: |
Provider Mailing Location
11731 SALEM RD
PAVO
GA
317783958
Provider Mailing Phone/Fax
| Phone: | 2294034868 |
| Fax: |