Organization
MARC S BERGER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC STUART BERGER MD (OWNER)
(706) 946-4240
Entity
Organization
Contact information
Practice address
101 RIVERSTONE VIS, STE 217, BLUE RIDGE, GA 30513-6648
(706) 946-4240
(706) 946-4241
Mailing address
101 RIVERSTONE VIS, STE 217, BLUE RIDGE, GA 30513-6648
(706) 946-4240
(706) 946-4241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
66567
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263050800
—
FL
Enumeration date
10/11/2011
Last updated
10/11/2011
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