Berry-Taylor, Deborah J
Berry-Taylor, Deborah J is an individual health care provider with primary practice located at 899 Island Park Dr Ste 200 , Daniel Island SC 29492. 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-Taylor, Deborah J can be contacted via phone (843) 856-6402.Contact Information
Primary practice address
899 Island Park Dr Ste 200
Daniel Island SC 29492
Phone: (843) 856-6402
Fax: (843) 216-5068
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN1502 | South Carolina |
Profile Details
| NPI number | 1235157330 |
|---|---|
| LBN Legal business name | Berry-Taylor, Deborah J |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Nov 14th, 2019 - about 5 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 | 1235157330 | NPPES |
| South Carolina | MEDICAID | NP1269 | |
| South Carolina | Other | P00846493 | |
| South Carolina | Other | GP1553 |
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