Individual
BERTHA YVETTE MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1105 BELLEVIEW ST, COLUMBIA, SC 29201-1839
(803) 667-4500
Mailing address
PO BOX 292241, COLUMBIA, SC 29229
(803) 361-6004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BL000623-02-2012
SC
Other
Enumeration date
07/20/2016
Last updated
12/27/2016
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