Individual
WILLIAM PAUL BERLIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF MEDICINE, JACKSON, MS 39216-4500
(601) 984-5601
(601) 984-6601
Mailing address
2500 N STATE ST, DEPARTMENT OF MEDICINE, JACKSON, MS 39216-4500
(601) 984-5601
(601) 984-6601
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27304
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05573591
—
MS
Enumeration date
05/26/2015
Last updated
10/08/2021
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