Organization
JAY S. BERGER, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY STEVEN BERGER M.D. (OWNER/PHYSICIAN)
(770) 253-9900
Entity
Organization
Contact information
Practice address
58 HOSPITAL RD, SUITE 203, NEWNAN, GA 30263-1230
(770) 253-9900
(770) 253-7351
Mailing address
58 HOSPITAL RD, SUITE 203, NEWNAN, GA 30263-1230
(770) 253-9900
(770) 253-7351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
026455
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF0267
RAILROAD MEDICARE
GA
Enumeration date
11/16/2007
Last updated
01/21/2009
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