NPI 1063202745

Georgette D Berry

Practitioner Religious Nonmedical Practitioner Ellenwood, GA

Practice location

Address: 3107 Indian Cotton Circle, Ellenwood, GA 30294
Phone: (678) 275-6314
Mailing address: 5966 Sherwood Pl, Ellenwood, GA 30294-4089

Registered specialties

Religious Nonmedical Practitioner Primary

Nursing Service Related Providers Taxonomy 374K00000X Licence 0000000

Other Religious Nonmedical Practitioner providers in Georgia →

Registry record

NPI: 1063202745
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 May 2025
Record last updated: 7 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.