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Contact Information

CHARLES M BERRY III, MD
42333 DELUXE PLZ
SUITE 7
HAMMOND, LA70403-1239
 Phone: 985-345-2555
 Fax: 985-345-2837
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for CHARLES M BERRY III · (Male)

NPI # 1740283258
Status Active
Credentials MD
Entity Individual
Enumeration date 05/30/2005
Last updated 03/22/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • LA License # MD.013651
  • LA Medicaid 1306509
Hospital affiliation(s)
  • NORTH OAKS MEDICAL CENTER LLC - (Acute Care)
    15790 PAUL VEGA MD DRIVE
    HAMMOND, LA 70403
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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