Individual
MS. DEBORAH B BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
3604 BUSH ST, RALEIGH, NC 27609-7511
(919) 876-7807
(919) 876-8823
Mailing address
1025 CEDARHURST DR, RALEIGH, NC 27609-5415
(919) 878-8198
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
L001653
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2994338
PERFORMING PROVIDED NUMBE
NC
Enumeration date
12/06/2006
Last updated
07/08/2007
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