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Individual

CHATORA C TOLBERT BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1900 10TH AVE STE 200, COLUMBUS, GA 31901-3605
(706) 653-8556
Mailing address
707 CENTER ST STE 110, COLUMBUS, GA 31901-1575
(706) 494-4300

Taxonomy

Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
RN171176
GA
363LF0000X
Family Nurse Practitioner
Primary
RN171176
GA

Other

Enumeration date
10/03/2017
Last updated
05/13/2020
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