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Individual

ROY HERBERT BERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1686 SKYLYN DR, SUITE 201, SPARTANBURG, SC 29307-1058
(864) 582-8135
Mailing address
PO BOX 277827, ATLANTA, GA 30384-7827

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7686
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
076866
SC
Enumeration date
05/16/2006
Last updated
11/05/2007
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