Individual
ANTHONY MARK BERARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3642 WHEELER RD, AUGUSTA, GA 30909-6519
(706) 496-2573
Mailing address
104 BERTRAM CT, AUGUSTA, GA 30909-2144
(864) 982-5039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13842
GA
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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