Individual
LOIS WENDY BERKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNBSN
Contact information
Practice address
753 FARM HILL CT NE, WOODSTOCK, GA 30188-4021
(404) 403-2992
Mailing address
753 FARM HILL CT NE, WOODSTOCK, GA 30188-4021
(404) 403-2992
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
RN049242
GA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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