Individual
DEBORAH J BERRY-TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
899 ISLAND PARK DR STE 200, DANIEL ISLAND, SC 29492
(843) 856-6402
(843) 216-5068
Mailing address
201 SIGMA DR, STE 100, SUMMERVILLE, SC 29486-7715
(843) 695-6071
(843) 569-5879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN1502
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GP1553
MEDICAID GROUP #
SC
05
—
NP1269
—
SC
01
—
P00846493
RR MEDICARE
SC
Enumeration date
07/17/2006
Last updated
11/14/2019
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