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Organization
NUTRITION SUPPORT SPECIALTY CARE
Active
Organization
NUTRITION SUPPORT SPECIALTY CARE
Active
Other names
Enteral
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BERRY MS, RD, LD (OWNER)
(434) 996-0507
Entity
Organization
Contact information
Practice address
1221 HIDDEN LAKES DR, MOUNT PLEASANT, SC 29464-9467
(843) 872-2090
(866) 421-3337
Mailing address
1221 HIDDEN LAKES DR, MOUNT PLEASANT, SC 29464-9467
(434) 996-0507
(866) 421-3337
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
01/17/2023
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