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Individual

DR. HOWARD A BERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
132 RETREAT PLZ, SUITE B, ST SIMONS ISLAND, GA 31522-2426
(912) 638-2245
Mailing address
132 RETREAT PLZ, SUITE B, ST SIMONS ISLAND, GA 31522-2426
(912) 638-2245

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5872
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GRP 4423
MCR GRP
GA
Enumeration date
09/10/2007
Last updated
09/15/2010
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