Individual
MR. JAY STEVEN BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
58 HOSPITAL ROAD, SUITE 203, NEWNAN, GA 30263
(770) 253-9900
(770) 253-7351
Mailing address
58 HOSPITAL ROAD, SUITE 203, NEWNAN, GA 30263
(770) 253-9900
(770) 253-7351
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
026455
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000291849A
—
GA
01
—
180002775
RAILROAD MEDICARE
GA
Enumeration date
06/26/2006
Last updated
08/12/2008
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