Bergh, Mary E.
Bergh, Mary E. is an individual health care provider with primary practice located at 980 Johnson Ferry Rd Ste 520 , Atlanta GA 30342-1637. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Bergh, Mary E. can be contacted via phone (404) 303-3320.Contact Information
Primary practice address
980 Johnson Ferry Rd Ste 520
Atlanta GA 30342-1637
Phone: (404) 303-3320
Fax: (404) 303-3464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 41726 | Georgia |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 41726 | Georgia |
Profile Details
| NPI number | 1003802588 |
|---|---|
| LBN Legal business name | Bergh, Mary E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Oct 12th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003802588 | NPPES |
| Georgia | MEDICAID | 00685176A |
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