Most Relevant Information
Provider Data
| NPI Number: | 1003558859 |
| Provider Name: | NATHANIEL KARL BERG |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/12/2022 |
| Last Updated: | 04/12/2022 |
Provider Practice Location
719 THOMPSON LN STE 20400
NASHVILLE
TN
372044600
Practice Location Phone/Fax
| Phone: | 6158755568 |
| Fax: | 6153224466 |
Provider Mailing Location
663 VIA LA CUESTA
CHULA VISTA
CA
919131018
Provider Mailing Phone/Fax
| Phone: | 6199529709 |
| Fax: |