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Individual

DR. JOSEPH H BERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
305 W HANSELL ST, THOMASVILLE, GA 31792-6649
(229) 228-6355
(229) 228-6841
Mailing address
305 W HANSELL ST, THOMASVILLE, GA 31792-6649
(229) 228-6355
(229) 228-6841

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
028722
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000328512A
PEACH STATE
GA
05
000328512A
GA
01
010015083
RAILROAD MEDICARE
GA
01
N207140
WELLCARE
GA
Enumeration date
09/01/2006
Last updated
05/27/2008
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