Individual
LEILANI LEE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 685-6508
Mailing address
45 SYCAMORE AVE APT 215, CHARLESTON, SC 29407-6715
(843) 685-6508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
238904
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
28809
SC
Other
Enumeration date
07/25/2023
Last updated
04/24/2026
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