DEREK BERTA

COLUMBIA, SC
NPI1114572716
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  4293)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2019-08-09
Last Update Date2022-06-06
Business Address
DEREK BERTA
2750 LAUREL ST STE 305
COLUMBIA, SC 29204-2025
Phone number: 803-254-5140
Mailing Address
DEREK BERTA
PO BOX 935722
ATLANTA, GA 31193-5722
Phone number: 843-792-6200
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