Individual
DR. JONATHAN AUSTIN BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1322 ELTON RD, JENNINGS, LA 70546-4100
(337) 824-2282
Mailing address
1322 ELTON RD, JENNINGS, LA 70546-4100
(337) 824-2282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
338692
LA
207Q00000X
Family Medicine Physician
T-4262
MS
Other
Enumeration date
04/03/2020
Last updated
07/15/2024
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