Individual
ROBERT JOHN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2024 15TH ST, SUITE 500, MERIDIAN, MS 39301-4130
(601) 482-5174
(601) 482-5175
Mailing address
2024 15TH ST, SUITE 500, MERIDIAN, MS 39301-4130
(601) 482-5174
(601) 482-5175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06978
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018061
—
MS
01
—
73006066
BLUE CROSS ALABAMA
MS
Enumeration date
12/05/2005
Last updated
01/08/2008
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