Individual
BRUCE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1021 COOLIDGE ST, SUITE 4, GREENEVILLE, TN 37743-5986
(423) 636-8891
(423) 636-1732
Mailing address
PO BOX 37087, BALITMORE, TN 21297-3087
(828) 687-5616
(828) 650-8076
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
18527
TN
2083X0100X
Occupational Medicine Physician
28732
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509400
—
TN
Enumeration date
08/14/2006
Last updated
06/24/2015
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