Organization
BERG EYE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA G CANNON (INSURANCE ADMINISTRATOR)
(229) 432-7012
Entity
Organization
Contact information
Practice address
2709 MEREDYTH DR, SUITE 110, ALBANY, GA 31707-0222
(229) 432-7012
(229) 435-0211
Mailing address
2709 MEREDYTH DR, SUITE 110, ALBANY, GA 31707-0222
(229) 432-7012
(229) 435-0211
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
021643
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55000157A
—
GA
Enumeration date
09/22/2005
Last updated
10/22/2007
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