Individual
DR. EMMETT REAVES BERRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3888 NORTHSIDE DR, MACON, GA 31210-2417
(478) 477-4044
(478) 477-7076
Mailing address
3888 NORTHSIDE DR, MACON, GA 31210-2417
(478) 477-4044
(478) 477-7076
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
023905
GA
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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