Individual
MOHAMED BERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-3018
(706) 721-9442
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-9442
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MT229739
PA
Other
Enumeration date
08/07/2023
Last updated
06/21/2024
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