Individual
DAVID P. BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 BOILING SPRINGS RD, SUITE 2400, SPARTANBURG, SC 29303-4201
(864) 583-5312
(864) 582-1935
Mailing address
1330 BOILING SPRINGS RD, SUITE 2400, SPARTANBURG, SC 29303-4201
(864) 583-5312
(864) 582-1935
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
7904
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0999930001
DMERC
—
01
—
180024839
RAILROAD MEDICARE
—
05
—
PA6582
—
SC
Enumeration date
08/11/2005
Last updated
02/07/2011
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