David Glass Berry, N.M.T. Valid NPI
Individual provider · Contractor · Moncks Corner, SC
- NPI
- 1942447578
- Type
- Individual (Type 1)
- Primary specialty
- Contractor
- Specialty group
- Other Service Providers
- Taxonomy code
- 171W00000X
- License number
- 5374 (SC)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2009-01-20
- Last updated
- 2009-01-20
Practice location
202 Carolina Ave
Moncks Corner, SC 29461-3785
(843) 899-9088