Code
BER-CAR-86
Mercy ID
V-00008-21
Last
Beronis
First
Carlos
DOB
06/21/1986
County
Fulton
House
(678) 461-9737
CODE DATE SERVICE INTAKE BY CONTACT MODE DATA ENTRY
BER-CAR-86 01/12/2000 Intake J. Perez Face to face D. Gomez