Berry, Carol Ann
Berry, Carol Ann is an individual health care provider with primary practice located at 600 E Palmetto St , Florence SC 29506-2851. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Berry, Carol Ann can be contacted via phone (843) 667-9414.Contact Information
Primary practice address
600 E Palmetto St
Florence SC 29506-2851
Phone: (843) 667-9414
Fax: (843) 667-1362
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 255 | South Carolina |
Profile Details
| NPI number | 1497755052 |
|---|---|
| LBN Legal business name | Berry, Carol Ann |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Sep 24th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497755052 | NPPES |
| South Carolina | MEDICAID | NP0368 |
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