Individual
DR. MARY H BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9701695
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1222C
BCBS
NC
01
—
260045877
MEDICARE RAILROAD
NC
05
—
891222C
—
NC
Enumeration date
08/31/2006
Last updated
07/08/2007
Update your record
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