Individual
MR. DAVID GLASS BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.M.T.
Contact information
Practice address
202 CAROLINA AVE, MONCKS CORNER, SC 29461-3785
(843) 899-9088
(843) 899-9088
Mailing address
202 CAROLINA AVE, MONCKS CORNER, SC 29461-3785
(843) 899-9088
(843) 899-9088
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5374
SC
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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