Individual
MS. BERTHA SMALLS MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 ETHERIDGE RD, WADMALAW ISLAND, SC 29487-6953
(843) 557-8408
Mailing address
1715 ETHERIDGE RD, WADMALAW ISLAND, SC 29487-6953
(843) 557-8408
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/26/2013
Last updated
01/26/2013
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