James Montgomery Berry
Otolaryngologist (ENT Doctor) Otolaryngology/Facial Plastic Surgery
618 Pegram Dr
Tupelo
, Mississippi 38801-6322
James Montgomery Berry
Otolaryngologist (ENT Doctor) Otolaryngology/Facial Plastic Surgery
618 Pegram Dr
Tupelo
, Mississippi 38801-6322
(662) 844-1113
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- James Montgomery Berry
- Po Box 2180
- Tupelo, MS
- Zip : 38803-2180
- Fax : (662) 844-1113
- Phone : (662) 844-6513
Second Address
- James Montgomery Berry
- 618 Pegram Dr
- Tupelo, MS
- Zip : 38801-6322
- Fax : (662) 844-1113
- Phone : (662) 844-6513
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 13598 | MS |
| N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 13598 | MS |
National Provider Identifier
| NPI | 1679688113 |
|---|---|
| Provider Name | James Montgomery Berry |
| First Address | Tupelo, MS 38803-2180 |
| Second Address | Tupelo, MS 38801-6322 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2006 |
| Last Update Date | 24/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0119247 | (05) | MS |
| G65774 | (02) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.