Organization
MICHAEL P. BERRY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P BERRY MD (CEO)
(901) 692-9600
Entity
Organization
Contact information
Practice address
1385 W BRIERBROOK RD, GERMANTOWN, TN 38138-2216
(901) 692-9600
(901) 692-9606
Mailing address
PO BOX 1000, DEPT 15, MEMPHIS, TN 38148-0001
(901) 692-9600
(901) 692-9600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36377
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4037400
BLUE SHIELD TN
TN
Enumeration date
09/29/2005
Last updated
10/01/2007
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