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DR. MARY-EMMA BERES M.D.

Adult Medicine >> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1295715704

Individual Registrant:
DR. MARY-EMMA  BERES M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
127 E MAIN ST  INDEPENDENCE, VA 24348 US
Tel: 276-773-2865  Fax: 276-773-0843

Contact information for business:
PO BOX 947  INDEPENDENCE, VA 24348-0947 US
Tel: 276-773-2865  Fax: 276-773-0843

Registration Information:
NPI: 1295715704
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207QA0505XAllopathic & Osteopathic Physicians
Family Medicine
Adult Medicine
VA0101057835

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
005610681VA05
690573GVA05




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