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NPI Code Detail

MEDICARE: LAWRENCE DAVID BERMAN M.D.

MEDICARE:   LAWRENCE DAVID BERMAN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician035374GA
2207L00000XAnesthesiology Physician17570AL
3207LP2900XPain Medicine (Anesthesiology) Physician035374GA
4208VP0014XInterventional Pain Medicine Physician035374GA

Other Identifiers

General Provider Information

NPI Number : 1184626640
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAWRENCE DAVID BERMAN M.D.
Provider Business Mailing Address
First Line : 245 SNOWGOOSE CT
Second Line :
City : ALPHARETTA
State : GA
Zip : 30022-2466
Country : US
Telephone Number : 706-302-4750
Fax Number : 706-423-9443
Provider Business Practice Location Address
First Line : 4535 WINTERS CHAPEL RD STE 100
Second Line :
City : ATLANTA
State : GA
Zip : 30360-2705
Country : US
Telephone Number : 678-580-1862
Fax Number : 678-580-1648
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 05/08/2018

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Directions to “ LAWRENCE DAVID BERMAN M.D.” Practice Location

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