Berry, James Montgomery

Berry, James Montgomery is an individual health care provider with primary practice located at 618 Pegram Dr , Tupelo MS 38801-6322. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Berry, James Montgomery can be contacted via phone (662) 844-6513.

Contact Information

Primary practice address
618 Pegram Dr Tupelo MS 38801-6322
Phone: (662) 844-6513
Fax: (662) 844-1113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 13598 Mississippi
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 13598 Mississippi
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 13598 Mississippi

Profile Details

NPI number 1679688113
LBN Legal business name Berry, James Montgomery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jun 24th, 2010 - 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 1679688113 NPPES
Mississippi MEDICAID 0119247

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