Individual
ELIZABETH M BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR STE 500, COLUMBIA, SC 29203-6870
(803) 434-4555
(803) 434-4599
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN142
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA3422F935
MEDICARE
SC
05
—
NP1724
—
SC
Enumeration date
06/08/2006
Last updated
06/30/2021
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