# DR. RHETT BERGERON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1104036854
- **Gender:** Man
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 044683 | GA | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 044683 | GA | — |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 044683 | GA | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 044683 | GA | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 044683 | GA | — |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | 044683 | GA | — |
| 2083S0010X | Sports Medicine (Preventive Medicine) Physician | 044683 | GA | — |
| 261QP2300X | Primary Care Clinic/Center | 044683 | GA | — |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 12/22/2010