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Individual

DR. CRAIG D. BERTEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
940 BROOKWAY BLVD, BROOKHAVEN, MS 39601-2644
(601) 823-5000
(601) 823-4142
Mailing address
940 BROOKWAY BLVD, BROOKHAVEN, MS 39601-2644
(601) 823-5000
(601) 823-4142

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20521
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09133044
MS
Enumeration date
04/11/2008
Last updated
10/31/2014
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