Individual
RYAN DARRELL BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(705) 535-0191
(770) 533-4786
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(707) 181-1227
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
91158
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2019
Last updated
08/08/2022
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