Individual
MISS CHARITY JEAN BERG-MAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1008 LAKE MURRAY BLVD, IRMO, SC 29063-2821
(803) 749-3843
Mailing address
1008 LAKE MURRAY BLVD, IRMO, SC 29063-2821
(803) 749-3843
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19690
SC
363LF0000X
Family Nurse Practitioner
19690
SC
363LF0000X
Family Nurse Practitioner
95013079
CA
Other
Enumeration date
08/18/2015
Last updated
01/16/2025
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