Individual
JOEL EDWARD BERENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
702 CANTON ROAD, MARIETTA, GA 30060
(770) 428-4486
(770) 425-6008
Mailing address
702 CANTON ROAD, MARIETTA, GA 30060
(770) 428-4486
(770) 425-6008
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
016020
GA
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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