Individual
DR. DAVID MCINNIS BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 W. MAIN ST., CENTREVILLE, MS 39631-0639
(601) 645-5221
Mailing address
5201 LAKELAND BLVD, B 12, FLOWOOD, MS 39232-8912
(601) 853-2626
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21038
MS
207Q00000X
Family Medicine Physician
21038
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06439090
—
MS
Enumeration date
05/24/2010
Last updated
06/25/2020
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