Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEORGETTE D BERRY
Active Sole ProprietorGEORGETTE D BERRY is a 374K00000X healthcare provider located in ELLENWOOD, Georgia. NPI 1063202745 is currently active in the NPPES registry. Verify at CMS.
374K00000X · ELLENWOOD, GA
Registration Details
- NPI Number
- 1063202745
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 7, 2025 (1.2349091823422 yrs)
- Last Updated
- May 7, 2025
- License
-
0000000
- Sole Proprietor
- Yes
Practice Information
- Address
-
3107 INDIAN COTTON CIRCLEELLENWOOD, GA, 30294Browse GA providers · Browse ZIP 30294
- Phone
- 6782756314
- Primary Specialty
-
374K00000X
374K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.