| Enteral | |
|
1221 Hidden Lakes Dr, Mount Pleasant, SC 29464-9467 | |
| (843) 872-2090 | |
| (866) 421-3337 |
| Full Name | Enteral |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1221 Hidden Lakes Dr, Mount Pleasant, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053035899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Amy Jean Berry |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346874641 PECOS PAC ID: 0143698209 Enrollment ID: I20221121001614 |
| Mailing Address | Practice Location Address |
|---|---|
| Enteral 1221 Hidden Lakes Dr, Mount Pleasant, SC 29464-9467 Ph: (434) 996-0507 | Enteral 1221 Hidden Lakes Dr, Mount Pleasant, SC 29464-9467 Ph: (843) 872-2090 |
Sara Gail, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1280 Hospital Dr Unit 302, Mount Pleasant, SC 29464 Phone: 843-352-4154 | |
Amanda Salley, MS, RD, CSP, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 129 Palm Cove Way, Mount Pleasant, SC 29466 Phone: 260-804-2880 | |
Calen David Pangle, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 Belle Isle Ave Ste 110, Mount Pleasant, SC 29464 Phone: 828-342-9683 | |
Cheyenne Louise Richards, RDN, LD, MBA Dietitian Medicare: Not Enrolled in Medicare Practice Location: 21 Faye Ln, Mount Pleasant, SC 29464 Phone: 512-695-0769 Fax: 843-972-8914 | |
Jana Lynn Davis, MS, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 1481 Center Street Ext Apt 1207, Mount Pleasant, SC 29464 Phone: 843-801-4686 Fax: 702-549-5309 | |
Rhiannon Shelbourne, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1122 Chuck Dawley Blvd Bldg B, Mount Pleasant, SC 29464 Phone: 843-792-5434 |