Berard, William Ronald

Berard, William Ronald is an sole proprietor health care provider with primary practice located at 101 Doctors Dr , Carrollton GA 30117-4486. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Berard, William Ronald can be contacted via phone (770) 834-6208.

Contact Information

Primary practice address
101 Doctors Dr Carrollton GA 30117-4486
Fax: (770) 830-7620
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 045172 Georgia

Profile Details

NPI number 1992796882
LBN Legal business name Berard, William Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Nov 21st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992796882 NPPES
Georgia MEDICAID 00787641A

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