Individual
MRS. ELIZABETH UGINO BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 434-7000
Mailing address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203
(803) 434-7000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
219519
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
21012
SC
Other
Enumeration date
06/05/2016
Last updated
06/29/2017
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