Berry, Roy Herbert

Berry, Roy Herbert is an individual health care provider with primary practice located at 1686 Skylyn Dr Suite 201, Spartanburg SC 29307-1058. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Berry, Roy Herbert can be contacted via phone (864) 582-8135.

Contact Information

Primary practice address
1686 Skylyn Dr Suite 201 Spartanburg SC 29307-1058
Phone: (864) 582-8135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 7686 South Carolina

Profile Details

NPI number 1801848296
LBN Legal business name Berry, Roy Herbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Nov 5th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801848296 NPPES
South Carolina MEDICAID 076866

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