Healthcare Provider Details

I. General information

NPI: 1619993128
Provider Name (Legal Business Name): BESTY L FRANKLIN RNC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BESTY L GREENBERG FRANKLIN RNC

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 WACCAMAW MEDICAL PARK DR
CONWAY SC
29526-8903
US

IV. Provider business mailing address

153 REEF RUN RD
PAWLEYS ISLAND SC
29585-7066
US

V. Phone/Fax

Practice location:
  • Phone: 843-347-5060
  • Fax:
Mailing address:
  • Phone: 843-237-1283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberR58945
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: