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Individual

MAX WAYNE BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(771) 848-8448
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 848-8448

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
996437
GA
2085R0204X
Vascular & Interventional Radiology Physician
30970
SC
2085R0204X
Vascular & Interventional Radiology Physician
31693
AL
2085R0204X
Vascular & Interventional Radiology Physician
MD60343987
WA
2085R0204X
Vascular & Interventional Radiology Physician
Q9958
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
314118
L&I POST 7/21/13
WA
01
P01287745
RR MEDICARE
WA
Enumeration date
07/20/2007
Last updated
07/21/2026
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