Individual
DR. ERIC EDWARD BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5461 MERIDIAN MARKS RD STE 130, ATLANTA, GA 30342
(404) 255-2033
(404) 252-1901
Mailing address
5461 MERIDIAN MARKS RD STE 130, ATLANTA, GA 30342-3009
(404) 255-2033
(404) 252-1901
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD441701
PA
207Y00000X
Otolaryngology Physician
P2593
TX
207YP0228X
Pediatric Otolaryngology Physician
Primary
78940
GA
207YP0228X
Pediatric Otolaryngology Physician
MD441701
PA
207YP0228X
Pediatric Otolaryngology Physician
P2593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003199122
—
GA
Enumeration date
01/28/2008
Last updated
05/31/2018
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