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NPI Code Detail

MEDICARE: DR. KAREN LYNN BERRIOS D.M.D.

MEDICARE: DR. KAREN LYNN BERRIOS D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist8810SC

General Provider Information

NPI Number : 1346211927
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN LYNN BERRIOS D.M.D.
Provider Business Mailing Address
First Line : 145 PALMETTO POINTE RD
Second Line :
City : MARION
State : SC
Zip : 29571-6721
Country : US
Telephone Number : 843-423-2400
Fax Number :
Provider Business Practice Location Address
First Line : 145 PALMETTO POINTE RD
Second Line :
City : MARION
State : SC
Zip : 29571-6721
Country : US
Telephone Number : 843-423-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 12/22/2023

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