Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 87068 | GA |
NPI | 1326434150 |
---|---|
Provider Name | Yvonne Berko |
First Address | Atlanta, GA 30368-2847 |
Second Address | Newnan, GA 30265-1618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2015 |
Last Update Date | 31/12/2020 |