# BERKELEY MEDICAL CENTER, LLC

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

## Provider details

- **NPI number:** 1417137803
- **Authorized official:** DR. ROSE D. GIBBS (MEDICAL DOCTOR)
- **Authorized official phone:** (843) 761-1995

## Contact information

- **Practice address:** 106 W MAIN ST, MONCKS CORNER, SC 29461-2601
- **Practice address phone:** (843) 761-1995
- **Practice address fax:** (843) 761-3257
- **Mailing address:** 106 W MAIN ST, MONCKS CORNER, SC 29461-2601
- **Mailing address phone:** (843) 761-1995
- **Mailing address fax:** (843) 761-3257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2007
- **Last updated:** 03/28/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | RHC038 | — | SC |