Organization
IVETA BERZINCH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVETA BERZINCH MD (OWNER)
(912) 285-8866
Entity
Organization
Contact information
Practice address
1704 BOULEVARD SQ STE B, WAYCROSS, GA 31501-8023
(912) 285-8866
(912) 285-8881
Mailing address
1704 BOULEVARD SQ STE B, WAYCROSS, GA 31501-8023
(912) 285-8866
(912) 285-8881
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
043873
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000781954A
—
GA
Enumeration date
12/21/2011
Last updated
07/23/2012
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