Individual
DR. MARC EDWARD BERRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15155 HIGHWAY 43, RUSSELLVILLE, AL 35653-1975
(205) 940-9050
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00020244
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51556055
—
AL
Enumeration date
05/04/2006
Last updated
07/08/2007
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