MR. Jody David Berryhill, L.A.T.

NPI #1902866528 in Longview, Texas

Provider Information

NPI Number: 1902866528
Entity Type: Individual
Name: MR. Jody David Berryhill, L.A.T.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: L.A.T.
Enumeration Date: Mar 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1005 W FAIRMONT ST
City: Longview
State: Texas
ZIP Code: 75604-3511
Phone: (903) 295-5140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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