Individual
DR. WAYNE BERRY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
407 4TH ST, NEWPORT, TN 37821-3755
(423) 623-6240
(423) 623-0102
Mailing address
407 4TH ST, NEWPORT, TN 37821-3755
(423) 623-6240
(423) 623-0102
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
28263
WV
207Q00000X
Family Medicine Physician
0101273638
VA
207Q00000X
Family Medicine Physician
28253
WV
207Q00000X
Family Medicine Physician
Primary
67624
TN
Other
Enumeration date
05/12/2015
Last updated
10/25/2023
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