Individual
JOSEPH P BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
677 CHURCH ST., KENNESTONE HOSPITAL DEPARTMENT OF PATHOLOGY, MARIETTA, GA 30060
(770) 793-5452
Mailing address
1242 FAWNDALE DR NW, KENNESAW, GA 30152-3960
(770) 793-5452
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
71667
GA
Other
Enumeration date
06/15/2009
Last updated
10/22/2019
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