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Individual

DUNCAN EAVES BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
079821
GA
207W00000X
Ophthalmology Physician
Primary
2017-00442
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
2017-00442
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
79821
STATE MEDICAL LICENSE
GA
Enumeration date
07/02/2013
Last updated
04/29/2021
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