Organization
BERRY ENTERPRISES LLC
Active
Other names
Medical IQ
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT M BERRY MD (OWNER)
(601) 824-3255
Entity
Organization
Contact information
Practice address
756 LUCKNEY RD, BRANDON, MS 39042-8703
(601) 824-3255
(601) 944-9780
Mailing address
756 LUCKNEY RD, BRANDON, MS 39042-8703
(601) 824-3255
(601) 944-9780
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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