| Berkeley Medical Center, Llc | |
|
106 W Main St Moncks Corner SC 29461-2601 | |
| (843) 761-1995 | |
| (843) 761-3257 |
| Full Name | Berkeley Medical Center, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 106 W Main St, Moncks Corner, South Carolina |
| Authorized Official Name and Position | Rose D. Gibbs (MEDICAL DOCTOR) |
| Authorized Official Contact | 8437611995 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkeley Medical Center, Llc 106 W Main St Moncks Corner SC 29461-2601 Ph: (843) 761-1995 | Berkeley Medical Center, Llc 106 W Main St Moncks Corner SC 29461-2601 Ph: (843) 761-1995 |
| NPI Number | 1417137803 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 03/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417137803 | NPI | - | NPPES |
| RHC038 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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