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1104895614
EMMETT REAVES BERRY
MACON, GA
NPI
1104895614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: GA 023905)
Enumeration Date
2006-03-16
Last Update Date
2007-07-08
Business Address
Dr. EMMETT REAVES BERRY M.D.
3888 NORTHSIDE DR
MACON, GA 31210-2417
Phone number: 478-477-4044
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Mailing Address
Dr. EMMETT REAVES BERRY M.D.
3888 NORTHSIDE DR
MACON, GA 31210-2417
Phone number: 478-477-4044
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