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Contact Information

JACOB R BERRY, MD
655 7TH ST
ROBINS AFB, GA31098-2227
 Phone: 478-327-8487
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for JACOB R BERRY · (Male)

NPI Number 1245677525
Status Active
Credentials MD
Entity Individual
Enumeration date 05/28/2013
Last updated 08/13/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NE License # 28112
Hospital affiliation(s) Not Available
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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