Berg, Gary W

Berg, Gary W is an individual health care provider with primary practice located at 300 Hospital Rd Bldg 40709, Fort Gordon GA 30905-5650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Berg, Gary W can be contacted via phone (706) 787-2988.

Contact Information

Primary practice address
300 Hospital Rd Bldg 40709 Fort Gordon GA 30905-5650
Phone: (706) 787-2988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 041725 Georgia

Profile Details

NPI number 1982713806
LBN Legal business name Berg, Gary W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 8th, 2013 - about 11 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 1982713806 NPPES
Georgia MEDICAID 000702974C
Georgia MEDICAID G41725

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