| Doctor Name: | DR. COLIN BERRY |
| NPI Number: | 1235168642 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0101045353 |
| Business Practice Address: | 2520 Valley Drive Ste 214 Point Pleasant, WV - 25550 |
| Business Phone Number: | 3046753405 |
| Business Fax Number: | 3046755481 |
| Mailing Address: | Po Box 1680, HUNTINGTON |
| State: | WV |
| Postal Code: | 25717 |
| Phone Number: | 3046971396 |
| Fax Number: | 3046972086 |
| NPI Enumeration Date: | 06/30/2006 |
| NPI Last Update Date: | 01/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 0101045353 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |