Individual
MRS. WHITNEY L BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
162 BUCK CREEK RD, JACKSON, GA 30233-6522
(210) 793-0904
Mailing address
162 BUCK CREEK RD, JACKSON, GA 30233-6522
(210) 793-0904
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
144655
GA
363AS0400X
Surgical Physician Assistant
14-4655
TX
Other
Enumeration date
09/05/2013
Last updated
08/21/2025
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