Individual
DR. SETH ALLEN BERL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 HOSPITAL PARK, MOULTRIE, GA 31768-6772
(229) 891-5308
(229) 616-1165
Mailing address
9 HOSPITAL PARK, MOULTRIE, GA 31768-6772
(229) 891-5308
(229) 616-1165
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024390
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000253646D
—
GA
01
—
110021285
RR MEDICARE
GA
Enumeration date
03/14/2006
Last updated
10/07/2014
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