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Contact Information

NEIL C BERRY, MD
1050 EAGLES LANDING PKWY
STE 103
STOCKBRIDGE, GA30281
 Phone: 678-289-5040
 Fax: 678-289-2040
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NEIL C BERRY · (Male)

NPI Number 1821082025
Status Active
Credentials MD
Entity Individual
Enumeration date 09/02/2005
Last updated 08/05/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 013727
  • GA Medicaid 00599068A
  • GA Other 0807410001 DME
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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