Individual
DR. GEORGE E BERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 HIGHWAY 17, LITTLE RIVER, SC 29566-9215
(843) 280-8333
(843) 663-0020
Mailing address
1300 HIGHWAY 17, LITTLE RIVER, SC 29566-9215
(843) 280-8333
(843) 663-0020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18987
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
428960
RURAL MEDICARE
SC
05
—
GP0641
—
SC
01
—
RHC127
RURAL MEDICAID
SC
Enumeration date
09/08/2005
Last updated
07/08/2007
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