NPI 1063750024
Bertha Smalls Middleton
Practice location
- Address
- 1715 Etheridge Rd, Wadmalaw Island, SC 29487-6953
- Phone
- (843) 557-8408
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1063750024
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 26 Jan 2013
- Record last updated
- 26 Jan 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.