Individual
JOHN ERIC BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
1133 E W CONNECTOR, AUSTELL, GA 30106-1779
(770) 863-9421
(770) 863-9427
Mailing address
525 ROCKY RIDGE BLVD, DOUGLASVILLE, GA 30134-1526
(678) 982-9948
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
002207
GA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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