Individual
MICHAEL EDMUND MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
1 SAINT FRANCIS DR, GREENVILLE, SC 29601-3955
(864) 255-1000
Mailing address
621 PAWLEYS DR, SIMPSONVILLE, SC 29681-6544
(864) 351-9758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
103304
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
17683
SC
Other
Enumeration date
09/09/2011
Last updated
03/25/2024
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