Mary E. Bergh
Internist - Cardiovascular Disease
980 Johnson Ferry Rd Ste 520
Atlanta
, Georgia 30342-1637
Mary E. Bergh
Internist - Cardiovascular Disease
980 Johnson Ferry Rd Ste 520
Atlanta
, Georgia 30342-1637
(770) 822-5389
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Mary E. Bergh
- 755 Walther Rd
- Lawrenceville, GA
- Zip : 30045-8725
- Fax : (770) 822-5389
- Phone : (770) 252-0399
Second Address
- Mary E. Bergh
- 980 Johnson Ferry Rd Ste 520
- Atlanta, GA
- Zip : 30342-1637
- Fax : (404) 303-3464
- Phone : (404) 303-3320
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 41726 | GA |
National Provider Identifier
| NPI | 1003802588 |
|---|---|
| Provider Name | Mary E. Bergh |
| First Address | Lawrenceville, GA 30045-8725 |
| Second Address | Atlanta, GA 30342-1637 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2005 |
| Last Update Date | 12/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00685176A | (05) | GA |
| G28422 | (02) |
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.