Deberry, Skye Nicole

Deberry, Skye Nicole is an individual health care provider with primary practice located at 110A Springhall Dr , Goose Creek SC 29445-5335. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Deberry, Skye Nicole can be contacted via phone (843) 973-8503.

Contact Information

Primary practice address
110A Springhall Dr Goose Creek SC 29445-5335
Phone: (843) 973-8503
Fax: (843) 990-5068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 22301 South Carolina

Profile Details

NPI number 1710943584
LBN Legal business name Deberry, Skye Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jun 18th, 2024 - about last year

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 1710943584 NPPES
South Carolina MEDICAID 223010

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