Individual
CAROL S BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
301 W PINE ST, BLACKSBURG, SC 29702-1549
(864) 839-4325
(803) 839-9901
Mailing address
301 BLACKSBURG STREET, BLACKSBURG, SC 29702
(864) 839-4325
(864) 839-9901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27325
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27325
STATE LICENSE #
SC
05
—
NP0568
—
SC
Enumeration date
09/26/2006
Last updated
10/23/2014
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