Individual
ALLEN D BERRY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5959 PARK AVE, MEMPHIS, TN 38119
(901) 765-2131
(901) 765-2064
Mailing address
PO BOX 1483, INDIANAPOLIS, IN 46206-1483
(877) 262-6446
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
15224
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117237001
—
AR
05
—
3046982
—
TN
Enumeration date
02/28/2006
Last updated
01/31/2017
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