Individual
NATHAN R BERKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 388-1286
(931) 388-7119
Mailing address
1224 TROTWOOD AVE, COLUMBIA, TN 38401-4802
(931) 388-1286
(931) 388-7119
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD039255
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30015461
—
TN
01
—
4204161
BLUE CROSS
TN
Enumeration date
01/04/2007
Last updated
08/04/2021
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