GEORGETTE D BERRY

ELLENWOOD, GA
NPI1063202745
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374K00000X Religious Nonmedical Practitioner
(Licence:   0000000)
Enumeration Date2025-05-07
Last Update Date2025-05-07
Business Address
GEORGETTE D BERRY
3107 INDIAN COTTON CIRCLE
ELLENWOOD, GA 30294
Phone number: 678-275-6314
Mailing Address
GEORGETTE D BERRY
5966 SHERWOOD PL
ELLENWOOD, GA 30294-4089
Phone number: 678-275-6314