Dr LARRY BERGERE is a male medical professional, specializing in Internal Medicine. He graduated in 1995 from University Of Miami School Of Medicine.
NORTHSIDE SEPC PROFESSIONAL SERVICES LLC
105 CARNEGIE PL
SUITE 103
FAYETTEVILLE
GA
302145900
Tel: 7707167999
| Npi | 1609966613 |
| Pac Id | 9638213648 |
| Professional Enrollment Id | I20100215000231 |
| Last Name | BERGERE |
| First Name | LARRY |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | NORTHSIDE SEPC PROFESSIONAL SERVICES LLC |
| Group Practice Pac Id | 6204186901 |
| Number Of Group Practice Members | 9 |
| Line 1 Street Address | 105 CARNEGIE PL |
| Line 2 Street Address | SUITE 103 |
| Marker Of Address Line 2 Suppression | |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 302145900 |
| Phone Number | 7707167999 |
| Hospital Affiliation Ccn 1 | 110215 |
| Hospital Affiliation Lbn 1 | PIEDMONT FAYETTE HOSPITAL |
| Hospital Affiliation Ccn 2 | 110165 |
| Hospital Affiliation Lbn 2 | SOUTHERN REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 110191 |
| Hospital Affiliation Lbn 3 | PIEDMONT HENRY HOSPITAL |
| Hospital Affiliation Ccn 4 | 110161 |
| Hospital Affiliation Lbn 4 | NORTHSIDE HOSPITAL |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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