Individual
ERIC J BERENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 564-5400
(404) 564-5403
Mailing address
PO BOX 1316, INDIANAPOLIS, IN 46206-1316
(877) 440-0479
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
054791
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419492424A
—
GA
Enumeration date
12/21/2007
Last updated
06/20/2013
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