Individual
JEFFREY BERKLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC MPH
Contact information
Practice address
1101 CAMBRIDGE SQ, STE B, ALPHARETTA, GA 30004-1865
(770) 475-2225
(770) 664-4718
Mailing address
1101 CAMBRIDGE SQ, STE B, ALPHARETTA, GA 30004-1865
(770) 475-2225
(770) 664-4718
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1911
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52156776001
BLUE SHIELD PROVIDER ID
GA
Enumeration date
10/25/2006
Last updated
07/09/2007
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