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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