Individual
ROSEMARIE BERGHOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2049 PERKERSON RD SW, ATLANTA, GA 30310-5052
(404) 549-9327
(404) 963-5017
Mailing address
2049 PERKERSON RD SW, ATLANTA, GA 30310-5052
(404) 549-9327
(404) 963-5017
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
172V0000X
GA
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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