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Individual
DAVIS BRIAN BERRY
Active
Individual
DAVIS BRIAN BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL52011
SC
207RG0100X
Gastroenterology Physician
Primary
91400
SC
Other
Enumeration date
06/13/2018
Last updated
08/12/2024
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