Individual
REBECCA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
202 E GROVER ST, SHELBY, NC 28150-3977
(980) 487-2360
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20593
SC
363L00000X
Nurse Practitioner
Primary
5004514
NC
Other
Enumeration date
10/01/2009
Last updated
05/29/2019
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