Individual
DR. GARLAND KEITH BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
158 CLINIC AVE, CARROLLTON, GA 30117-4414
(770) 834-1008
(770) 834-2531
Mailing address
158 CLINIC AVE, CARROLLTON, GA 30117-4414
(770) 834-1008
(770) 834-2531
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
31419
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766343094A
—
GA
05
—
766343094B
—
GA
05
—
766343094C
—
GA
05
—
766343094D
—
GA
05
—
766343094E
—
GA
05
—
766343094F
—
GA
Enumeration date
04/14/2006
Last updated
12/16/2009
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