Individual
SAMUEL J BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
1376 N DECATUR RD NE, ATLANTA, GA 30306-2425
(678) 595-8156
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
GA278178
GA
Other
Enumeration date
03/21/2020
Last updated
03/21/2020
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