Healthcare Provider Details

I. General information

NPI: 1356300875
Provider Name (Legal Business Name): DONALD C BERINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 02/08/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5670 PEACHTREE DUNWOODY RD STE 1230
ATLANTA GA
30342-4791
US

IV. Provider business mailing address

5670 PEACHTREE DUNWOODY RD STE 1230
ATLANTA GA
30342-4791
US

V. Phone/Fax

Practice location:
  • Phone: 770-292-6500
  • Fax: 770-292-6535
Mailing address:
  • Phone: 770-292-6500
  • Fax: 770-292-6535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number51432
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: