CVP MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CVP MD PC

Practice address

3008 E Park Ave
Brunswick, GA 31520-4241

Phone

(912) 265-2142

Fax

(912) 265-0530

NPI assigned

Sep 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles V Perniciaro, MD

Title

President

Phone

(912) 265-2142

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427159946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 E PARK AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204241",
            "telephone_number": "912-265-2142",
            "fax_number": "912-265-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 E PARK AVE",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204241",
            "telephone_number": "912-265-2142",
            "fax_number": "912-265-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVP MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERNICIARO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-265-2142",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tina Louise Crowley, D. C.
• Stephanie Cruwys, LCSW
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• Jason Michael Dancy, M.D.
• Daniel Family Dentistry LLC

• Dermatology Physician in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.