# DAVID P. BERRY, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356474043
- **Authorized official:** GWEN M LANFORD (INSURANCE COORDINATOR)
- **Authorized official phone:** (864) 583-5312

## Contact information

- **Practice address:** 1330 BOILING SPRINGS RD, SUITE 2400, SPARTANBURG, SC 29303-4201
- **Practice address phone:** (864) 583-5312
- **Mailing address:** 1330 BOILING SPRINGS RD, SUITE 2400, SPARTANBURG, SC 29303-4201
- **Mailing address phone:** (864) 583-5312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 7904 | SC | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 02/07/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CM5056 | RAILROAD MEDICARE | — |
| 05 | — | PA6582 | — | SC |