Provider Demographics
NPI:1821751967
Name:BERRYHILL, BYRAN KEITH
Entity Type:Individual
Prefix:
First Name:BYRAN
Middle Name:KEITH
Last Name:BERRYHILL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 KNOLLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-5334
Mailing Address - Country:US
Mailing Address - Phone:229-931-4212
Mailing Address - Fax:
Practice Address - Street 1:103 KNOLLWOOD DR
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-5334
Practice Address - Country:US
Practice Address - Phone:229-931-4212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator