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Individual

DR. JOHN F BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2800 PEOPLES ST STE 80, JOHNSON CITY, TN 37604
(423) 631-0101
(423) 328-9027
Mailing address
2800 PEOPLES ST STE 80, JOHNSON CITY, TN 37604-4158
(423) 631-0101
(423) 328-9027

Taxonomy

Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
41124
TN
207RC0000X
Cardiovascular Disease Physician
Primary
41124
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
261791900
FL
05
Q051445
TN
Enumeration date
03/28/2006
Last updated
09/20/2019
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