Organization
JOSEPH H. BERGER, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH H BERGER M.D. (MEDICAL DOCTOR)
(229) 228-6355
Entity
Organization
Contact information
Practice address
305 W HANSELL ST, THOMASVILLE, GA 31792-6649
(229) 228-6355
(229) 228-6841
Mailing address
305 W HANSELL ST, THOMASVILLE, GA 31792-6649
(229) 228-6355
(229) 228-6841
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
028722
GA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
028722
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB4831
RAILROAD MEDICARE
GA
Enumeration date
10/05/2007
Last updated
02/18/2008
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