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Organization

BERTA M BERGIA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BERTA M BERGIA MD (MD PHYSICIAN NEUROLOGY)
(865) 531-6161
Entity
Organization

Contact information

Practice address
9333 PARK WEST BLVD, #108, KNOXVILLE, TN 37923-4305
(865) 531-6161
(865) 691-3691
Mailing address
9333 PARK WEST BLVD, #108, KNOXVILLE, TN 37923-4305
(865) 531-6161
(865) 691-3691

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
17849
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3026559
TN
Enumeration date
10/01/2007
Last updated
10/01/2007
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