Individual provider · Type 1 NPI
Georgette D. Berry
Religious Nonmedical Practitioner · Ellenwood, GA
NPI number
1063202745
Active
Practice location
3107 Indian Cotton Circle
Ellenwood, GA 30294
Mailing address
5966 Sherwood Pl
Ellenwood, GA 30294-4089
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Religious Nonmedical Practitioner Primary | 374K00000X | 0000000 |
Religious Nonmedical Practitioner: A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
About NPI 1063202745
Georgette D. Berry's National Provider Identifier is 1063202745, issued on May 7, 2025. The primary taxonomy on file is Religious Nonmedical Practitioner (374K00000X), and the practice location is in Ellenwood, GA. The record was last updated on May 7, 2025.