Individual
G D BERRYHILL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
860 DESOTO AVENUE EXT, CLARKSDALE, MS 38614-2003
(662) 627-7438
(662) 624-4024
Mailing address
PO BOX 969, CLARKSDALE, MS 38614-0969
(662) 627-7438
(662) 624-4024
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06979
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017218
—
MS
Enumeration date
09/24/2006
Last updated
07/08/2007
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