Individual
DR. CHARLES MARKHAM BERRY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
42333 DELUXE PLZ, SUITE 7, HAMMOND, LA 70403-1239
(985) 345-2555
(985) 345-2837
Mailing address
154 ROCK BASS CT, MADISONVILLE, LA 70447-9321
(985) 845-1622
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD.013651
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306509
—
LA
Enumeration date
05/30/2005
Last updated
03/22/2010
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