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Organization
DAVID P. BERRY, MD, PA
Active
Organization
DAVID P. BERRY, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN M LANFORD (INSURANCE COORDINATOR)
(864) 583-5312
Entity
Organization
Contact information
Practice address
1330 BOILING SPRINGS RD, SUITE 2400, SPARTANBURG, SC 29303-4201
(864) 583-5312
Mailing address
1330 BOILING SPRINGS RD, SUITE 2400, SPARTANBURG, SC 29303-4201
(864) 583-5312
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7904
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CM5056
RAILROAD MEDICARE
—
05
—
PA6582
—
SC
Enumeration date
03/13/2007
Last updated
02/07/2011
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