Individual
DR. NEIL COLVARD BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 EAGLES LANDING PKWY, STE 103, STOCKBRIDGE, GA 30281
(678) 289-5040
(678) 289-2040
Mailing address
1050 EAGLES LANDING PKWY, STE 103, STOCKBRIDGE, GA 30281-9018
(678) 289-5040
(678) 289-2040
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
013727
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00599068A
—
GA
01
—
0807410001
DME
GA
Enumeration date
09/02/2005
Last updated
08/05/2010
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