Individual
DIANA ANSLEY BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
531 ROSELANE ST NW STE 830, MARIETTA, GA 30060-6979
(770) 794-0477
Mailing address
2626 HICKORY HILL DR SE, SMYRNA, GA 30080-3440
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
01/29/2020
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