Individual
DR. JULIE BERGERON LAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
735 MCMILLAN RD, CLEMSON, SC 29634-4054
(864) 656-2233
Mailing address
BOX 344054, CLEMSON, SC 29634-0001
(864) 656-2233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23322
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233223
—
SC
01
—
AA97415019
MEDICARE PIN
SC
01
—
AA97416067
MEDICARE PIN
SC
01
—
P01195352
RAILROAD MEDICARE
SC
Enumeration date
08/07/2012
Last updated
12/04/2025
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