Organization
SETH A. BERL, MD
Active
Parent organization
SETH A. BERL, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SETH A. BERL, MD
Authorized official
MRS. DIANE M SIKES (PRACTICE MANAGER)
(229) 890-1442
Entity
Organization
Contact information
Practice address
9 HOSPITAL PARK, MOULTRIE, GA 31768-6772
(229) 890-1442
(229) 890-0782
Mailing address
9 HOSPITAL PARK, MOULTRIE, GA 31768-6772
(229) 890-1442
(229) 890-0782
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
024390
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000253646D
—
GA
Enumeration date
10/31/2007
Last updated
11/08/2010
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