Organization
HOLLY A. BERNDT, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH B MUSTIN (BILLING CLERK)
(706) 896-9274
Entity
Organization
Contact information
Practice address
103 CHURCH ST, HIAWASSEE, GA 30546-3223
(706) 896-4673
(706) 896-3992
Mailing address
103 CHURCH ST, HIAWASSEE, GA 30546-3223
(706) 896-4673
(706) 896-3992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
059372
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118611205A
—
GA
05
—
5908767
—
NC
Enumeration date
01/21/2011
Last updated
01/21/2011
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