NPI Profile for GREG BERRY in WASHINGTON, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Orthotist |
222Z00000X | 55 | Individual Certified Orthotist | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist |
| NPI # | 1639131592 |
|
| Status | Active | |
| Credentials | CPO CPED | |
| Entity | Individual | |
| Enumeration date | 04/05/2006 | |
| Last updated | 09/30/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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