Individual
DR. GARY C BERLINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD,MPH
Contact information
Practice address
2395 THOMPSON RD, DAWSONVILLE, GA 30534-5376
(706) 265-6866
(706) 216-8448
Mailing address
2395 THOMPSON RD, DAWSONVILLE, GA 30534-5376
(706) 265-6866
(706) 216-8448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
041262
GA
207R00000X
Internal Medicine Physician
041262
GA
2085R0202X
Diagnostic Radiology Physician
041262
GA
2085U0001X
Diagnostic Ultrasound Physician
041262
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00961221A
—
GA
01
—
041262
LICENSE
GA
Enumeration date
02/12/2007
Last updated
10/30/2015
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