Provider Demographics
NPI:1164526117
Name:BERGER, JOSEPH (MD, RPH)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:BERGER
Suffix:
Gender:M
Credentials:MD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DUNWOODY PARK
Mailing Address - Street 2:SUITE # 140
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-7404
Mailing Address - Country:US
Mailing Address - Phone:770-730-8912
Mailing Address - Fax:770-390-0877
Practice Address - Street 1:1 DUNWOODY PARK
Practice Address - Street 2:SUITE # 140
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-7404
Practice Address - Country:US
Practice Address - Phone:770-730-8912
Practice Address - Fax:770-390-0877
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0473972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry