Individual
GREGORY LOUIS BERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2880 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 797-3633
Mailing address
2880 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 797-3633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
101514
NC
363AM0700X
Medical Physician Assistant
Primary
4073
SC
Other
Enumeration date
09/15/2005
Last updated
07/27/2022
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