AUSTIN GORDON BERRY

SHREVEPORT, LA
NPI1821849563
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-01
Last Update Date2025-05-14
Business Address
AUSTIN GORDON BERRY DO
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number: 318-212-8128
Mailing Address
AUSTIN GORDON BERRY DO
5001 HARDY ST
HATTIESBURG, MS 39402-1308
Phone number:
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