NPI 1235122789

James W. Berry, ATCNREMT

Practitioner Athletic Trainer Conway, SC

Practice location

Address: 2301 Church Street Conway High School, Conway, SC 29526
Phone: (843) 488-6191
Mailing address: 4291 Summit Trl, Myrtle Beach, SC 29579-6938

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 070 (SC)

Other Specialist/Technologist providers in South Carolina →

Basic Emergency Medical Technician

Emergency Medical Service Providers Taxonomy 146N00000X Licence 18106 (SC)

Other Emergency Medical Technician, Basic providers in South Carolina →

Registry record

NPI: 1235122789
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2005
Record last updated: 18 Jan 2023

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.