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Individual
MR. TOMMIE RUSSELL BERRY JR.
Active
Individual
MR. TOMMIE RUSSELL BERRY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
35.137255
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD486652
PA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
35.137255
OH
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
85696
SC
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
89500
GA
Other
Enumeration date
03/31/2014
Last updated
08/28/2024
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